8 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Tumor • Retinal detachment ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #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
afferent pupillary defect ... object (to avoid a near ... #Diagnosis #PhysicalExam ... #Ophthalmology ... Afferent #Pupillary #Defect
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #PhysicalExam # ... neurology #ophthalmology
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
- Differential Diagnosis ... with visual field defect ... • Retinal tear ... #Differential #Diagnosis ... #Ocular #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
Ocular Adverse Effects ... Retina: • Detachment ... GCA • Adie’s pupil ... • Visual field defect ... #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 bright or direct ... clinical #video #ophthalmology ... #physicalexam #
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... Neurological defects ... clinical #video #ophthalmology ... #physicalexam #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... Cough reflex Pupils ... If ok with ICU team ... caseyalbin #PhysicalExam