The right pupil was 7.5 mm, round and unreactive to light (Figure 1). The left pupil was 3 mm, round and reactive to light, constricting to 1 mm. There was no relative afferent pupillary defect.

2. Evaluate the Lids, Pupils, and Extraocular Muscles When assessing a patient with acute-onset diplopia, it is important to evaluate three ocular structures: the lids, the pupil, and the ...

A 70-year-old woman presents to the primary care clinic reporting increasing fatigue over the past 6 months that is more severe in the evenings. Along with fatigue, the patient reports fluctuating ...

A 28-year-old woman presented to the Lahey Eye Clinic reporting a 1-week history of constant binocular, horizontal diplopia. In addition to the diplopia, she described pain with extraocular ...