Inspect lid lag, ptosis, exophthalmoses, lacrimation, peri-orbital edema and nystabmus

Inspect conjunctival pallor, hemorrhage, scleral colour. Examine the fundi by using ophthalmoscope

Pupils : size – equality - light reaction

  • Small pinpoint pupils

Mid position fixed pupil:

  • (4-6mm) slightly dilated with no light reaction  Mid brain damage

Normal Eye

Abnormalities