Differential Diagnosis - Pacific University
Differential Diagnosis - Pacific University
Differential Diagnosis - Pacific University
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5/29/2012<br />
Types<br />
Recall assessment<br />
<br />
Pupil involving<br />
Aneurysm, tumor, trauma, cavernous sinus mass, pituitary<br />
apoplexy, herpes zoster<br />
1. Isolated left partial CN III palsy<br />
-relative pupil sparing<br />
<br />
<br />
<br />
<br />
Relative pupil sparing<br />
Ischemic microvascular disease*<br />
Pupil sparing<br />
Ischemic microvascular disease, GCA<br />
Isolated<br />
Partial or complete<br />
2. IDDM with moderate to severe NPDR OD<br />
IDDM with likely NPDR OS<br />
3. Pseudophakic OU<br />
4. PCO OS>OD<br />
Plan<br />
1. Order MRI of brain/orbits****<br />
- Request CT scan<br />
- Neuro-ophthalmic consult<br />
2. Retina specialist consult for likely PDR<br />
3. Yag laser OS<br />
Treatment options for diplopia:<br />
Patching (remember not to patch patients
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