11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... Orbital Apex Syndrome ... #physicalexam # ... neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... Tumor • Orbital ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Hippus on Physical Exam

Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... #Hippus #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Hippus on Physical Exam
Hippus: alternating dilation and constriction of pupils independent of illumination, convergence or psychic
constriction of pupils ... encephalopathies, MS ... #Hippus #PhysicalExam ... clinical #video #neurology ... #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
junction, cranial nerve ... eyelid: • Third nerve ... laceration or orbital ... #Ptosis #neurology ... #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... Optic Nerve/Pathway ... • Floaters Orbit ... GCA • Adie’s pupil ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Pupillary Hippus

The pupillary hippus is defined as a continuous oscillation of the pupillary diameter in the
the oculomotor nerve ... the clue for the diagnosis ... clinical #video #neurology ... #ophthalmology ... #physicalexam
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the hospital, diagnosed ... with MS, and started ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology