23 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
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 ... Fascicle (Other CN Ill ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential Diagnosis ... Framework Causes ... Mydriasis: CN Ill ... #differential #diagnosis ... #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
- Differential Diagnosis ... subcutaneous emphysema of lid ... iridodialysis • Pupil ... #Algorithm #Causes ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... Fasciculus (MLF) Iniury ... Skew Deviation Casey ... #Localization #ophthalmology ... #diagnosis #ocular
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... regarding the cause ... afferent pathway injury ... #MacrusGunn #PhysicalExam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... ptosis with CN Ill ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam # ... neurology