Vols. Videos

Neuro-ophthalmology

Last Updated: September 27, 2018

Table 1: Diplopia
​Differential list for diplopia
Neoplastic
  • Intraorbital meningioma
  • Pituitary adenoma (GH secreting, or apoplexy)
  • Metastasis
  • Carcinomatosis
Vascular
  • Giant cell arteritis
  • Giant intracranial aneurysm
  • Microvascular disease
Infectious
  • Meningitis
  • Sphenoid sinusitis (CN VI palsy)
  • Botulism
Metabolic
  • Wernicke’s encephalopathy
Inflammatory
  • Multiple sclerosis
  • Myasthenia gravis
  • GBS
  • Miller-Fisher syndrome
  • Orbital pseudotumor
  • Orbital myositis
Miscellaneous
  • Traumatic neuropathy (orbital apex fracture, blowout fracture of orbital wall)
  • Increased intracranial pressure (CN III and VI palsy)
  • INO (lesion of MLF)
  • Graves’ disease (thyroid orbitopathy)
  • Corneal disease
  • Cataracts
  • Idiopathic intracranial hypertension (CN VI palsy)
Table 2: Ptosis
Differential list for true ptosis
Neoplastic
  • Infantile rhabdomyosarcoma
  • Hemangioma
  • Optic glioma
  • Dermoid cyst
  • Metastatic neuroblastoma
Neurologic
  • Ophthalmoplegia
  • Unilateral ptosis
  • Mydriasis
  • Cranial nerve nuclear lesions
Endocrine
  • Thyroid orbitopathy
Congenital
  • Congenital Horner’s syndrome
  • Marcus Gunn phenomenon
  • Jaw Winking syndrome
  • Bl...
Top