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TitleDescriptionType
1 Aberrant Regeneration of the ThirdPatient with a right third nerve palsy demonstrates ptosis, anisocoria and ophthalmoplegia. During attempted downgaze, the right upper lid flutters back up (aberrant movement) and remains retracted.Image/MovingImage
2 Bilateral Internuclear OphthalmoplegiaExample of patient with bilateral internuclear ophthalmoplegia. Patient is led through instructions for direction and distance of gaze.Image/MovingImage
3 Blepharospasm with Apraxia of the EyeImage/MovingImage
4 Brainstem TraumaImage/MovingImage
5 Cogan's Lid TwitchImage/MovingImage
6 CPEOPatient with Chronic Progressive External Ophthalmoplegia (CPEO)Image/MovingImage
7 Intermittent Square Wave JerksPatient with intermittent square wave jerks (no audio)Image/MovingImage
8 Marcus Gunn Jaw WinkingExample of patient with Marcus Jaw Winking. Patient is led through instructions for movement of jaw (open, close, back and forth), with eyelid seen to be affected. Patient is then led through instructions for direction of gaze and pursuit.Image/MovingImage
9 Third Nerve PalsyPatient with third nerve palsy (no audio)Image/MovingImage
10 Unilateral BlepharospasmExample of patient with unilateral blepharospasm.Image/MovingImage
11 Vestibular NystagmusExample of patient with vestibular nystagmus. Patient is led through instructions for direction of gaze. Shown also with Frenzel goggles.Image/MovingImage
12 Abducting (Dissociated) NystagmusExample of a patient with abducting (dissociated) nystagmus. Patient has a subtle internuclear ophthalmoplegia. Right eye has right-beating jerk nystagmus, with smaller oscillations in the left eye. Disease/Diagnosis: Abducting NystagmusImage/MovingImage
13 Before TensilonExample of patient with myasthenia gravis. Demonstration of baseline examination, followed by administration of 2mg of tensilon, which is a test dose. Procedure for administration of tensilon test is described, including variations. Patient is then shown after being given 4mg of tensilon, with very ...Image/MovingImage
14 Cogan's Lid TwitchExample of a patient with Cogan's lid twitch, with discussion of how to detect it in an exam.Image/MovingImage
15 Congenital Ocular Motor ApraxiaTwo examples of congenital ocular motor apraxia. Patients have trouble initiating saccades, and compensate with head movement. Discussion of how to distinguish this condition from simply not seeing well.Image/MovingImage
16 Dissociated NystagmusExample of a patient with dissociated nystagmus. Demonstrates difference in movements between each eye.Image/MovingImage
17 Duane's Retraction Syndrome Type 1: Lid RetractionExample of patients with Duane's Retraction Syndrome, Type 1. Description of components of Duane's Syndrome: limitation of abduction, variable limitation of adduction, and palpebral fissure narrowing and globe retraction with attempted adduction. Type 1 includes limited or absent abduction with norm...Image/MovingImage
18 Internuclear Ophthalmoplegia (2 Examples)Two examples of patients with internuclear ophthalmoplegia. First patient has a right internuclear ophthalmoplegia. Patient had subacute bacterial endocarditis with a bacterial abscess in the brain stem. Ductions and gaze to the right look good, but when gazing to the left, the right eye does not ad...Image/MovingImage
19 Latent NystagmusExample of a patient with latent nystagmus. Demonstrates a lack of oscillations in forward gaze, followed by the occlusion of each eye, showing how this generates a jerking oscillation in the non-occluded eye away from the occluded eye.Image/MovingImage
20 Levator DisinsertionExample of patient with levator disinsertion, a lid disorder. Patient is pregnant and wears poorly fitting contacts. Discussion of characteristics, such as lid ptosis (shown in the left eye of patient), but with full levator function.Image/MovingImage
21 Ocular FlutterTwo examples of patients, the first with rotary, flutter-like movements, but not ocular flutter, and the second with genuine ocular flutter. Discussion of difference between ocular flutter and nystagmus, and how to elicit ocular flutter.Image/MovingImage
22 OpsoclonusExample of patients with opsoclonus, a saccadic abnormality. Discussion of characteristics of opsoclonus, such as involuntary, rapid, brief, random, conjugate saccades. Discussion of possible causes, including brain stem encephalitis (as in first patient), a paraneoplastic effect, tumors, and drug t...Image/MovingImage
23 OpsoclonusExample of patients with opsoclonus, a saccadic abnormality.Image/MovingImage
24 Paradoxical Constriction of Pupils to Darkness (Flynn Phenomenon)Example of patients both with and without paradoxical constriction of pupils. Observed in many congenital retinal disorders, such as achromatopsia, congenital stationary night-blindness, and Leber's congenital amaurosis. Sometimes seen in optic nerve disorders, such as dominant optic atrophy.Image/MovingImage
25 Parinaud's SyndromeTwo examples of patients with Parinaud's syndrome, a dorsal midbrain syndrome. Discussion of hallmarks of this syndrome, including convergence retraction nystagmus, vertical gaze palsies, light-near dissociation, and Collier's Sign. Discussion of age-dependent disorders associated with this syndrome...Image/MovingImage
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