89 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... - Horner's Syndrome ... - Traumatic Iris ... Differential #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... - 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
Adie's Pupil on ... accommodation (i.e., light-near ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology #syndrome
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... Algorithm #Causes #Ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
dancing” of the iris ... with Marfan’s syndrome ... #Iridodonesis #Iris ... #SlitLamp #PhysicalExam ... #Video #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
, Adie's tonic pupil ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... , Pilocarpine, Iris ... differential #diagnosis #ophthalmology
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson Pupil ... myotic), irregular pupil ... #PhysicalExam # ... clinical #video #neurology ... #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
object (to avoid a near ... pupil response) ... Both pupils should ... #Diagnosis #PhysicalExam ... #Ophthalmology
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
Physical Exam A 73-year-old ... On ocular exam, pupil ... dilation of the pupil ... Landolfis #Sign #PhysicalExam ... Video #Ocular #Iris