33 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Apex Syndrome ... presented with retro-orbital ... #Apex #Syndrome ... Clinical #Video #Ophthalmology ... #PhysicalExam #NEJM
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
Tolosa-Hunt Syndrome ... • Unilateral orbital ... of the cranial nerves ... fissure or orbit ... #Tolosa #Hunt #Syndrome
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... Orbital Apex Syndrome ... #Apex #Syndrome ... #Herpes #Zoster ... clinical #video #ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital ... apex syndrome, ... Miller-Fisher syndrome ... , pseudotumor, Orbital ... differential #diagnosis #ophthalmology
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... anterior to the orbital ... - Impinges on nerves ... • Involves the orbit ... pathophysiology #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Miller-Fisher syndrome ... • Orbital pseudotumor ... • Orbital myositis ... Diagnosis #Causes #Ophthalmology
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
Herpes Zoster Mandibularis ... presumptive diagnosis of herpes ... #Clinical #Photo ... #Dermatology #Herpes ... Mandibularis #Rash #NEJM
Acquired Immunodeficiency Syndrome (AIDS): Summary of Causes and Ocular Manifestations
 • Molluscum lesions
 • Eyelid Kaposi
Immunodeficiency Syndrome ... Kaposi sarcoma • Herpes ... Complications #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... pupil (trauma/orbital ... PhysicalExam #neurology #ophthalmology
Hutchinson's Sign
 - A sign of ophthalmic zoster
  - Multiple crusted vesicles in distribution of
complications so consult ophthalmology ... Sign #clinical #photo ... #ophthalmology ... #HSV #Herpes #zoster