7 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... - Horner's Syndrome ... - CN III Palsy ... #Differential #Diagnosis ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... oculomotor nerve palsy ... #video #ophthalmology ... #physicalexam #neurology
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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... Ill palsy ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... The most common causes ... the hospital, diagnosed ... #ophthalmology ... #neurology