11 results
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... developed a complete ptosis ... Orbital Apex Syndrome ... #Syndrome #Herpes ... clinical #video #ophthalmology
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
secondary to Orbital Apex ... Syndrome A 61 ... #Syndrome #Clinical ... #Video #Ophthalmology ... #PhysicalExam #NEJM
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... left (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
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, Cavernous ... Miller-Fisher syndrome ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Horner’s syndrome ... palsy • Horner syndrome ... #Differential # ... Diagnosis #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... and ptosis (both ... diagnosis of Horner's syndrome ... tumors along the apex ... clinical #video #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... Miller-Fisher syndrome ... neuropathy (orbital apex ... #Diplopia #Differential
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential ... response, Serotonin syndrome ... : Horner's syndrome ... #differential # ... diagnosis #ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case)left eye. 
Note that left
Horner's Syndrome ... occurring at the apex ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... left (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis