26 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Apex Syndrome ... #Apex #Syndrome ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... encephalopathy, Orbital ... apex syndrome, ... Miller-Fisher syndrome ... differential #diagnosis #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Miller-Fisher syndrome ... • Orbital myositis ... Differential #Diagnosis #Causes ... #Ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... Orbital Apex Syndrome ... HZO #clinical #video ... #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... pupil (trauma/orbital ... PhysicalExam #neurology #ophthalmology
Drug Reaction with Eosinophilia and Systemic Signs (DRESS Syndrome): Formerly known as drug hypersensitivity reaction, DRESS
represents
Systemic Signs (DRESS Syndrome ... medication (in this case ... Images #Clinical #Dermatology ... SkinRash #DRESS #Syndrome ... Eosinophilia #Photo
Drug Reaction with Eosinophilia and Systemic Signs (DRESS Syndrome): Formerly known as drug hypersensitivity reaction, DRESS
represents
Systemic Signs (DRESS Syndrome ... medication (in this case ... Images #Clinical #Dermatology ... SkinRash #DRESS #Syndrome ... Eosinophilia #Legs #Photo
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... input to (in this case ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
No orbital bruit ... The syndrome of ... lymphangiomas are the cause ... Bilateral #clinical #video ... #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
• Floaters Orbit ... : • Orbital cellulitis ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes