13 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... The most common causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... • Sjögren’s syndrome ... hyperviscosity syndrome ... #diagnosis #ophthalmology ... #causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... Functional • Corneal ... #DoubleVision #Differential ... #Ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye ... The differential ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... the pupil of the eye ... #Adies #Pupil #PhysicalExam ... clinical #video #ophthalmology ... #neurology #syndrome
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... Bennett & Bloom Eye ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... nerve palsy • Horner ... contralateral eye ... #Differential # ... Diagnosis #ophthalmology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... corrective movement causes ... #PhysicalExam # ... video #ocular #ophthalmology ... #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye ... rash but his left eye ... clinical #video #ophthalmology ... #physicalexam # ... neurology