Question about physiological anisocornia (Professional Opinions Appreciated)?!


Question: went to the doctor with fears of possibly having brain tumor due to frequent headaches and the fact that my pupils were differently dilated, but I learned that I have physiological aniscoria and I am slightly nearsighted and am getting glasses.

What concerns me is that the doctor said I had physiological aniscoria. I am concerned because she says I must have been born with it, however I do not recall ever having different pupils in the past (although I may have just not noticed)

The doctor said my eyes were "reacting normally to light" and so it shouldn't be a neurological problem.

Do you think that this makes sense? Should I take the doc's words for it, or should I still go to the ER and pay (a lot of money...) for brain scans?

She told me that she was sure, but is it normal that sometimes the left eye is bigger and sometimes the right eye is bigger? And can they be equal at times?

I hope the doctor's right. I don't want a tumor...

Professional answers only, plz


Answers: went to the doctor with fears of possibly having brain tumor due to frequent headaches and the fact that my pupils were differently dilated, but I learned that I have physiological aniscoria and I am slightly nearsighted and am getting glasses.

What concerns me is that the doctor said I had physiological aniscoria. I am concerned because she says I must have been born with it, however I do not recall ever having different pupils in the past (although I may have just not noticed)

The doctor said my eyes were "reacting normally to light" and so it shouldn't be a neurological problem.

Do you think that this makes sense? Should I take the doc's words for it, or should I still go to the ER and pay (a lot of money...) for brain scans?

She told me that she was sure, but is it normal that sometimes the left eye is bigger and sometimes the right eye is bigger? And can they be equal at times?

I hope the doctor's right. I don't want a tumor...

Professional answers only, plz

Physiologic anisocoria occurs in about 10% of the population. As long as the pupils constrict and dilate equally, there is absolutely no cause for concern. The optometrist hopefully tested both the direct and consensual pupil responses in light and dim illumination and also if there was a pupil constriction at near. As long as the difference between the pupil sizes remain constant during testing, it is normal. If not, other reasons include Horner's, mass lesion (not necessarily in the brain), Argyll-Robertson, etc. Hope this helps.

You should be asking all these questions to her





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