15 results
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... PhysicalExam #clinical #video ... #ophthalmology ... #SlitLamp
Bilateral Atraumatic Lens Dislocation on Slit Lamp Ocular Examination

Atraumatic bilateral dislocation of intraocular lenses in a
3 days blurry vision ... Had cataract surgeries ... PhysicalExam #clinical #video ... #ophthalmology ... #SlitLamp
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... : Cataracts - ... Dislocation, Retinal ... Differential #Diagnosis #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
: • Cataracts ... • Lens dislocation ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... of the lens that ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... • Physiologic Anisocoria ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... a mass as the cause ... Refractive Error • Cataract ... /Lens Dislocation ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near vision ... with light near dissociation ... #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 ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
., light-near dissociation ... It is caused by ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome