A short video demonstrating how to assess a patient's 3rd nerve palsy. Transcript at eyevideos.blogspot.com. Get my new (May 2013) interactive book on your iPad, itun.es/i6xT3Yf
In case anyone reads this and was wondering, I answered my own questions . I got the T N palsy around the last week of July 2012 and it worsened by the first week of August .. I'm happy to report he was right ,in about 4 to 5 weeks around the 8th of Sept. I started improving and now today Sept. 21. I am almost 100%.. I would say around 85% I still have a bit of ptosis but it is getting better everyday .. I just ate a lot of B-12 kept the eye patched and moist with oil gel drops ..
Excellent video! I find your tutorials quite useful. However, if I may suggest you speak slowly. I find it necessary to digest the material before moving on to the next. Thanks for the recorded videos, one could pause or play back.
Hello, I have very important question. Is it possible the operation and return to a normal appearance . if so , in what town ? I have problem from birth.
my stepfather has this but in his left eye - I would like to know why if for any reason he has it in his left eye rather than the right, and why people don't have it in both eyes if the problem is with the 3rd cranial nerve - wouldn't that potentially cause ptosis in both eyes?
Wait... I may be missing one thing. If an aneurysm is the cause of anisocoria, would it always be accompanied with the eye drop? Or is the pupil dilaion the only symphtom? And. If someone have anisocoria, but with propper light reactons, can it still be due to an aneurysm?
An isolated dilated pupil can (very rarely) be the only finding for an expanding PCOM aneurysm. See the video on anisocoria. If there is no ptosis or diplopia to suggest a 3rd nerve palsy, then testing with dilute pilocarpine 0.125% (to look for denervation supersensitivity adies pupil) then 1% pilocarpine (will not respond if exposed to atropine). You can look on slit lamp for vermiform movements (adies pupil). Basically, when reviewing a dilated pupil in a fit and well person, anuerysm is low down on the list. But it is there...
sam tapsell Ok, thank you! I'm just a bit confused. I have anisocoria for a year now, but my eyes respond properly to light and near-light tests. There are times when the pupils are equal but usualy, the right one is something like 1mm ahead of the lef one. I had an Angio-MR without contrast, and the PCOMs where absent. How big this PCOM aneurysm would have to be to give pupil sympthoms?
So after 4 months of so you will be normal again ?? This crap sucks, I look like a mongoloid.. Does anyone know if I will be normal again ?? I though around the 2:30 mark he said that we will get better to normal after 4 months..
