10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
palsy • CN VI (Abducens ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
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
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Orbital Apex Syndrome ... #physicalexam # ... neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • Neurologic ... large/unreactive pupil ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
• Floaters Orbit ... : • Orbital cellulitis ... GCA • Adie’s pupil ... differential #diagnosis #ophthalmology ... #causes
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
paroxysmal brainstem syndrome ... Spasm #CNVI #CN6 #PhysicalExam ... #clinical #ocular ... #ophthalmology ... #neurology #video
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 ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... • Vestibulo-ocular ... Cough reflex Pupils ... caseyalbin #PhysicalExam ... #neurology #comatose