Boby Varkey Maramattom @bobvarkey
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Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
retraction #nystagmus #ocular
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
#PhysicalExam #ocular
Ocular Flutter on Examination

Encephalitis and Ocular Flutter Due to an Undifferentiated Connective Tissue Disorder

Dr. Boby Varkey
Ocular Flutter on ... Encephalitis and Ocular ... @bobvarkey #Ocular
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Downbeat Nystagmus on Ocular ... Downbeat #Nystagmus #Ocular
Saccadic Intrusions on Ocular Physical Exam

Saccadic intrusions (involuntary conjugate saccades that interrupt fixation)- brief jerks that
Intrusions on Ocular ... Saccadic #Intrusions #Ocular
Ocular Pulsion

Ocular pulsion- Eye deviation to the right in this case, on closing eyes (removal of
Ocular Pulsion ... Ocular pulsion ... Ocular pulsion is ... @bobvarkey #Ocular
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO on Ocular ... ophthalmoplegia #Ocular
Ocular Dipping in Anoxic Brain Injury after Cardiac Arrest on Physical Exam

Bobbing goes down fast
Dipping goes
Ocular Dipping in ... @bobvarkey #Ocular
Oculomotor apraxia (OMA) on Ocular Examination

A defect or absence of the ability to perform voluntary eye
apraxia (OMA) on Ocular ... #apraxia #OMA #Ocular
Episodic eyelid opening apraxia (without compensatory brow lift) and forced downgaze due to transient shunt malfunction

Dr.
#physicalexam #ocular