10 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... - Horner's Syndrome ... #Evaluation #Algorithm ... #Differential #Diagnosis ... #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes ... #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- Differential Diagnosis ... Algorithm Physiological ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... • Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... rare bilateral cases ... #video #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #ophthalmology ... physicalexam #neurology #Anisocoria
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 ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #ophthalmology ... #causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Algorithm Phoria ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
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 ... other potential causes ... HZO #clinical #video ... #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... Cough reflex Pupils ... : • Anisocoria