Reaction to certain topical dilating medications (such as a pet’s eye drops, or anti-nausea or motion sickness patches such as scopolamine) that may accidentally get into one eye. This may be due to a brain aneurysm, and should be urgently evaluated in the emergency room. On the other hand, a person whose pupils are uneven when they were normal before may be experiencing a serious problem such as:Ī torn or blocked blood vessel in the neck (usually the result of head or neck trauma), which could cause a mildly droopy eyelid on the side of the smaller pupil.Ī third nerve palsy can result in the inability to move the affected eye normally, in addition to eyelid drooping (which is often significant) on the side of the larger pupil.
In these cases, there are no other symptoms and both of the person’s pupils react to changes in light. This is called “physiologic anisocoria” and is normal. Slight differences between the two pupils may be present in up to 20 percent of people. This is to rule out eye conditions such as acute angle closure glaucoma or inflammation of the front part of the eye (uveitis or iritis). More often than not, it is pointed out to the person by someone close to them.Īn ophthalmologist should be seen to rule out ocular causes of eye pain and pupil asymmetry, especially when vision loss or changes, redness or discharge from the eye(s) is present.
#Unequal pupil size after fall professional#
Uneven pupil size may be noticed by the person or by a health professional during an examination.
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