14 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... Measure pupil size ... Anisocoria #Evaluation #Algorithm ... #Differential #Diagnosis ... #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
Both pupils should ... Both pupils remain ... Both pupils should ... #Diagnosis #PhysicalExam ... #Ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- Differential Diagnosis ... Algorithm Physiological ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... females Differential Diagnosis ... #PhysicalExam # ... neurology #ophthalmology
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
- Differential Diagnosis ... Algorithm Painful ... (fixed dilated pupil ... #Algorithm #Causes ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... Syphilis should ... clinical #video #ophthalmology ... #physicalexam #
Positive Seidel test on fluorescein stain exam

Globe rupture can be identified by a positive Seidel test
in making the diagnosis ... Globe rupture should ... #fluorescein #Ophthalmology ... #PhysicalExam #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology