21 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Tumor • Retinal detachment ... Syphilis (light-near dissociation ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Two things going on here in this blunt ocular trauma patient: Retinal Detachment and Lens Dislocation.
and Lens Dislocation ... made obvious on POCUS ... #Lens #Dislocation ... #Clinical #POCUS ... Ocular #Ultrasound #Ophthalmology
Ocular Ultrasound Pocketcard
Painless Vision Loss
 • Retinal Detachment 
 • Posterior Vitreous Detachment 
 • Vitreous
Loss • Retinal Detachment ... Rupture • Lens Dislocation ... Periorbital Edema - POCUS ... Ocular #Ultrasound #pocus ... diagnosis #radiology #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... • Tumor (Lung, Breast ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... i.e., light-near dissociation ... It is caused by ... infection which causes ... clinical #video #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Loss: • Retinal detachment ... , Vitreous detachment ... occlusion, Lens dislocation ... differential #diagnosis #causes ... #ophthalmology
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Painless: Lens Dislocation ... , Retinal Detachment ... Differential #Diagnosis #causes ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
input to (in this case ... Note that right pupil ... etiology in this case ... Images #Clinical #Ophthalmology ... #Photo #Horners