27 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... (Adie's pupil) ... - Homer's Syndrome ... - Equal Pupils ... #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Holmes-Adie Syndrome ... : • Adie's Pupil ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... pupil is a neurological ... tonically dilated pupil ... and affects the pupil ... #neurology #syndrome
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's ... Tonic Pupil - ... #Pupillary #Pupils
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Pupils: Localization ... Small, Reactive pupils ... Fixed, dilated pupil ... • Horner's syndrome ... #Coma #Neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... closure glaucoma, Adie's ... tonic pupil, Migraine ... : Constricted pupils ... Argyll Robertson pupils
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Midbrain (Parinaud's Syndrome ... Isocoria #Pupillary #Pupils ... Algorithm #Causes #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... Anisocoria #Pupillary #Pupils ... Algorithm #Causes #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... , the affected pupil ... Failure of the pupil ... #Tonic #Pupil #
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... Argyll #Robertson #Pupil ... #neurology #diagnosis ... #ophthalmology