13 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... It is caused by ... #Pupil #PhysicalExam ... clinical #video #ophthalmology ... #neurology #syndrome
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... Anisocoria - CN III Palsy ... Dilatation - Adie's ... Anisocoria #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... #physicalexam # ... neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... #physicalexam # ... clinical #video #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #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
Ocular Adverse Effects ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... differential #diagnosis #ophthalmology ... #causes
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology