18 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... - Horner's Syndrome ... - CN III Palsy ... #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... Differential Diagnosis Algorithm ... Fascicle (Other CN ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Differential Diagnosis Algorithm ... Midbrain (Parinaud's Syndrome ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases, CNS ... #diagnosis #nephrology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology ... #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • Neurologic ... a mass as the cause ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology