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Syndromes
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Afferent pupil defect

  • Slight dilation of pupil with direct stimulation and cessation of direct stimulation to the other eye (Swinging flashlight test)

Aides syndrome

  • Dilated pupil
  • Weak direct and consensual pupil reactions

Argyle-Robertson pupil

  • Miotic pupils O.U.
  • No direct or consensual pupil reflex
  • Near reflex normal
  • Suggests syphilis

Bells palsy

  • VII nerve damage
  • Side of face slack

Cavernous sinus syndrome

  • III, IV, V, VI nerves effected
  • Proptosis
  • Exophthalmos
  • Papilledema
  • Headache

Crocodile tears

  • Misdirected nerve fibers after damage to facial nerve enervates lacrimal gland resulting in tearing with anticipation of eating

Cushings syndrome

  • Steroid or adrenal gland induced
  • Moon face
  • Buffalo hump
  • Posterior subcapsular cataracts

Duans syndrome

  • Attempted adduction leads to retraction and ptosis

Foster Kennedy syndrome

  • Ipsilateral optic atrophy
  • Contralateral papilledema

Gradengo syndrome

  • VI nerve palsy
  • Esotropia
  • V nerve irritation
  • Pain

Horners syndrome

  • Miosis
  • Ptosis
  • Anhydrosis
  • Exopthalmos
  • Lesion of the sympathetic pathway in the brain stem to cervical area

Marcus Gunn syndrome

  • Ptotic lid raises with jaw movement

Mobius syndrome

  • III, VI, VII nerve palsy (Proptosis, Ptosis, ET)

Oculogyric crisis

  • Spastic upward conjugate movement of eyes
  • Hold head back

Ophthalmoplegia – Internal

  • III nerve paralysis
  • Dilated fixed pupils
  • Stroke

Ophthalmoplegia – External

  • III, IV, and VI nerve damage
  • Muscle palseys
  • Parinauds syndrome
  • No direct reflex
  • No upgaze
  • Accommodation spasm
 

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Last modified: May 1, 2006