Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
• Optic Neuritis
• Ischemic Optic Neuropathies
• Optic Nerve Tumor
• Retinal detachment
• Traumatic/Compressive Optic Neuropathy
Constricted Pupils (Miotic)
• Syphilis (light-near dissociation)
• Pharmacologic (e.g Opioids, Alcohol)
Dorsal Midbrain (Parinaud's Syndrome):
• Tumor
• Hemorrhage
• Hydrocephalus
Neuromuscular Junction Dysfunction:
• Botulism
Pharmacologic:
• Atropine
• LSD
• Cocaine
• Amphetamines
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