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 ... physicalexam #clinical #video ... #neurology #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Ophthalmoplegia (BINO ... Ophthalmoplegia #BINO ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
#PhysicalExam #ocular ... #clinical #video ... globe #rupture #ophthalmology
Spasmus Nutans on Ocular Examination

At first I thought it was Pendular But a closer look reveals
Spasmus Nutans on ... Ocular Examination ... #Ocular #PhysicalExam ... #clinical #video ... #ophthalmology
Spasmus Nutans on Ocular Examination

At first I thought it was Pendular But a closer look reveals
Spasmus Nutans on ... Ocular Examination ... #Ocular #PhysicalExam ... #clinical #video ... #ophthalmology
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 ... Flutter #clinical #video ... physicalexam #neurology #ophthalmology
Primary Downbeat Nystagmus on Ocular Examination

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

Saccadic intrusions (involuntary conjugate saccades that interrupt fixation)- brief jerks that
Intrusions on Ocular ... Saccadic #Intrusions #Ocular ... PhysicalExam #clinical #video ... #neurology #ophthalmology
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
WEBINO on Ocular ... ophthalmoplegia #Ocular ... #clinical #video ... #physicalexam #ophthalmology
Oculomotor apraxia (OMA) on Ocular Examination

A defect or absence of the ability to perform voluntary eye
apraxia (OMA) on Ocular ... #apraxia #OMA #Ocular ... PhysicalExam #clinical #video ... #neurology #ophthalmology