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Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior

Ocular Adverse Effects ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes

Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil

It is caused by ... infection which causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome

Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;

Adie's Pupil What ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology

Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
A. Visual Acuity

Pupils a. ... Ocular Movements ... Cornea D. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam

Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the

) on Slit Lamp Ocular ... large enough to cause ... Pupillary #Membrane #Pupil ... #Ocular #PhysicalExam ... clinical #video #ophthalmology

Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye.
Note that

Horner's Syndrome ... Note that right pupil ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis

All About Horner's Syndrome

Horner's syndrome, known as
"oculosympathetic paresis" by people
who don't have friends, is

Horner's syndrome ... have friends, is caused ... (constricted pupil ... in 1855 by Ed Horner ... #Overview #Ophthalmology

Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.

Her ocular exam ... In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam #

Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1

Horner's Syndrome ... experience, the cause ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam #

Krukenberg's Spindle - Slit Lamp Ocular Examination

Krukenberg's Spindle is a pigment deposit that can be found

Spindle - Slit Lamp Ocular ... aspect of the cornea ... pigment dispersion syndrome ... #Ocular #PhysicalExam ... clinical #video #ophthalmology

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