10 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... to Orbital Apex Syndrome ... Orbital #Apex #Syndrome ... Clinical #Video #Ophthalmology ... #PhysicalExam #NEJM
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Horner’s syndrome ... Supranuclear lesions • Ophthalmoplegia ... #Differential # ... Diagnosis #ophthalmology
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
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Preganglionic - Ptosis ... , opthalmoplegia ... Pupils #Defects #Differential ... Algorithm #Causes #Ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... Miller-Fisher syndrome ... Graves disease), Ophthalmoplegic ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Causes of Painful Ophthalmoplegia - Differential Diagnosis
 • Trauma
 • Autoimmune:
     1.
- Differential ... Tolosa-Hunt syndrome ... Viral: Herpes zoster ... #Causes #Differential ... Diagnosis #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
secondary to Herpes ... developed a complete ptosis ... , severe ophthalmoplegia ... secondary to Herpes ... clinical #video #ophthalmology
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) right eye. 
Note that
Horner's Syndrome ... left (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case)left eye. 
Note that left
Horner's Syndrome ... right (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis