HomeAnswersOphthalmology (Eye Care)anisocoria

Will the change in size of the pupil subside on its own?

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Patient's Query

Hello doctor,

I am around 38 years old and noticed a change in pupil size approximately six weeks ago. The doctor diagnosed physiological anisocoria and said there was a difference of 1 mm. But I have noticed the difference to be more on some days. What could be the reason for this? Will it subside on its own? Kindly help.

Answered by Dr. Vaibhev Mittal

Education:

DOMS

Professional Bio:

Dr. Vaibhev Mittal is a skilled Ophthalmologist specializing in the diagnosis and treatment of eye disorders. He is dedicated to preserving and improving vision while providing compassionate, patient-centered eye care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern. Physiological anisocoria of one mm is normal. The size of the pupil keeps changing depending on the light exposure. Therefore, the correct method to check pupil size is scotopic pupil size which is checked by pentacam and other instruments in the dark. In case of doubt, we need to check afferent and efferent pupillary pathways. It is done by checking the direct and consensual pupillary response. We can check accommodation reflex and near reflex also. And if all of these are normal, then there is nothing to worry about. I hope this helps. Thank you.

Medically reviewed by iCliniq medical review team
Published At October 10, 2022
Reviewed At August 12, 2023

Education:

DOMS

Professional Bio:

Dr. Vaibhev Mittal is a skilled Ophthalmologist specializing in the diagnosis and treatment of eye disorders. He is dedicated to preserving and improving vision while providing compassionate, patient-centered eye care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

DOMS

Professional Bio:

Dr. Vaibhev Mittal is a skilled Ophthalmologist specializing in the diagnosis and treatment of eye disorders. He is dedicated to preserving and improving vision while providing compassionate, patient-centered eye care.

This doctor is not available for online consultations on the platform anymore.

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