Pupils slighty dilated differently?!


Question:

Pupils slighty dilated differently?

Back when I was in high school, I took Ecstasy about 5 times at the most. I haven't touched any drugs in over 4 years now.

I don't know how long this has been happening, but I've noticed my pupils are different sizes. I read that it isn't a big deal if they're less than 1mm apart. In well lite areas, my pupils are slightly different and in dark rooms it appears my pupils are the same size. However, in medium lite rooms, my left pupil is considerably large and my right one is noticeably smaller. I've spent awhile looking up the subject but I can't find a definite answer.

Is this normal?

I'm between jobs right now and I hate to say that I can't afford to go see an Optometrist at the moment. I don't have any neck pains just some lower back ones.


Answers:

Unequal pupils (one large and one small) may be caused by conditions that affect one eye differently than the other. Such conditions may include injury or inflammation of the eye, injury of the nerves that control the pupil, head injury, brain tumors, and using eye drops in only one eye. Rarely, a person is born with pupils of different sizes.

During a complete eye examination, doctors shine light into each pupil, which causes them to constrict. No treatment is needed to modify pupil size.
http://www.merck.com/mmhe/sec20/ch225/ch...


If only one pupil is dilated, you may have Adie's syndrome, a condition in which one pupil contracts more slowly than the other in response to light. It's usually caused either by a malfunction in the mechanism that controls the dilation reflex or from a harmless inflammation of the eye nerves.
http://www.kci.org/meth_info/msg_board_p...




Frequently Asked Questions

If uneven pupils are found, what can I do to help my doctor determine the cause?

Knowing how long the pupils have been unequal is very helpful. Bring old photographs to your appointment that show your pupils well (without camera “red eye”), such as childhood school pictures.

If I have a Horner Syndrome, how can I tell what is wrong?

A stroke has other neurologic symptoms, and can be seen by MRI imaging of the brain. A lung tumor can be seen on imaging of the chest. A carotid dissection can be seen by MRA imaging of the blood vessels in the neck. Your doctor will evaluate your history and all of your symptoms together to determine the appropriate imaging study to do.

My doctor has told me I had a carotid dissection. How did that happen? What can I expect?

A carotid dissection is a tear in the wall of one of the large arteries going to the brain. A dissection can be caused even by minor trauma such as turning the neck while swimming or parking a car. Carotid dissections usually heal on their own, but you will probably be given a blood thinner to reduce the chances of blockage of the artery or blood clots circulating to the brain or lungs.

I am a nurse working in the surgery department, and my doctor told me my enlarged pupil was caused by the atropine I administer to patients in pre-op. How can I prevent this from happening in the future?

Wash your hands, not only before and after touching the patient, but also after drawing up medications and touching the tubing used for IV administration of medications and after removing your gloves. Don’t rub your eyes unless you are sure your hands are free of contamination.

What can I do to help focus up close if I have an Adie pupil?

Most patients with Adie pupil don’t have any problem with this, but if you do, your doctor may be able to prescribe reading glasses that will help.

I have an Adie pupil. What can I do to prevent the other eye from being affected?

We often don’t know what causes Adie pupil. Sometimes it follows a virus, and the other eye will probably not be affected. Sometimes it has no recognizable cause, but the other eye is affected, though sometimes it may be years later. We do not know of any way to prevent this.
http://www.nanosweb.org/patient_info/bro...




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