34 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... and the ice pack test ... include a Tensilon test ... clinical #video #ophthalmology ... #neurology
Hyphema - Blood in the Anterior Chamber - Grading

#Hyphema #Grading #Grades #Classification #Ophthalmology #Diagnosis #Management #Ocular
Hyphema #Grading #Grades ... Classification #Ophthalmology ... #Diagnosis #Management ... #Ocular
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... clinical #video #neurology ... #ophthalmology ... #ocular #ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... clinical #video #neurology ... #ophthalmology ... #ocular #Ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... clinical #video #neurology ... #ophthalmology ... #ocular #Ptosis
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve Palsy • CN ... Nerve palsy • CN ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... Syndrome #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... Graves disease – ... you’ve diagnosed Graves ... Check pregnancy test ... workup choices AND management
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... for ptosis with CN ... • Neurologic ... • Myasthenia Gravis ... Algorithm #Causes #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... Bedside: ice pack test ... /Edrophonium test ... #diagnosis #management ... #neurology