13 results
Left Abducens Palsy on Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Left Abducens Palsy ... #CN6 #CNVI #Ocular ... PhysicalExam #clinical #video ... #ophthalmology ... #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
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Test Revealing CNVI ... #Palsy #CN6 #Abducens ... Nerve #clinical #video ... #neurology #ophthalmology ... #ocular #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Ill Palsy - ... #PhysicalExam #neurology ... #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Lateral Rectus Palsy ... #Abducens #CNVI ... #CN6 #Ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... Ill palsy ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... oculomotor nerve palsy ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... large/unreactive pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Differential # ... Diagnosis #ophthalmology
Left Abducens Spasm on Physical Exam

A 50 yr male with left facial spasm and diplopia, with
paroxysmal brainstem syndrome ... Abducens #Spasm #CNVI ... #clinical #ocular ... #ophthalmology ... #neurology #video