12 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... occasionally it can occur bilaterally ... in those rare bilateral ... cases. ... #video #ophthalmology
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
elevation in one eye ... depression in the other eye ... vertical vestibulo-ocular ... We have varied causes ... #ophthalmology
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
commonly parasellar masses ... Video by Kathleen ... #ophthalmology ... #clinical #video ... #eye #ocular #PhysicalExam
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO on Ocular ... WEBINO = Wall-eyed ... bilateral internuclear ... #clinical #video ... #physicalexam #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
the adducting eyes ... Abducting eye nystagmus ... Ophthalmoplegia #BINO #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... how the right pupil ... Bennett & Bloom Eye ... #ophthalmology ... physicalexam #neurology #Anisocoria
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
downgaze and also by lateral-down ... Video by Kathleen ... #Vertical #Ophthalmology ... Neurology #Clinical #Video ... #Ocular #PhysicalExam
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... large/unreactive pupil ... #Strabismus #Ocular ... Diagnosis #Algorithm #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
Optic Chiasm Lateral ... Concussion Other Causes ... GCA • Adie’s pupil ... differential #diagnosis #ophthalmology ... #causes
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... corrective movement causes ... as it points to bilateral ... PhysicalExam #clinical #video ... #ocular #ophthalmology