13 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Algorithm Relative Afferent ... Tumor • Retinal detachment ... • Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... 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
detect a relative afferent ... Left relative afferent ... object (to avoid a near ... #Diagnosis #PhysicalExam ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
(4-6mm); • Light-near ... Holmes-Adie Syndrome ... movements - no light-near ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... - Light-near dissociation ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
reacts slowly to light ... accommodation (i.e., light-near ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
- Differential Diagnosis ... Unilateral flashing lights ... scotomas, colored lights ... #Differential #Diagnosis ... #Ocular #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... slightly reduced near ... with light near ... clinical #video #ophthalmology ... #physicalexam #
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... in response to light ... clinical #video #ocular ... #neurology #ophthalmology ... tuberous #sclerosis #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... pupil is not dilating ... clinical #video #ophthalmology ... #physicalexam #
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 ... Retina: • Detachment ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #ophthalmology