Question 1

what is physiological anisocoria?

Accepted Answer

Unequal pupil sizes: If there is a difference between the sizes of your pupils, you have anisocoria . If no medical condition or disease can be found to account for it, it is termed "physiologic". Check old photos with a magnifier to see if it is old or new! it might result from minor gestational or birth injury! generally nothing to worry about if not associated with something bad and if not progressive.

Question 2

is there a way to manage anisocoria?

Accepted Answer

Yes, sometimes: I have found that some patients respond to dilute Pilocarpine drops for anisocoria, but it depends on the underlying cause of the condition.

Question 3

is there a cure for anisocoria?

Accepted Answer

Anisocoria: Difference in size of pupils is seen in 20% population, most are asymptomatic. If there is underlying neurologic problem to cause it, that needs to be treated.

Question 4

how do you treat uneven pupils/anisocoria?

Accepted Answer

Normal or not: In some people there can be a slite  natural difference between pupils. If there is no neurological basis for this then it could be from a horner's syndrome from neck trauma, old direct trauma to the eye, old intraocular inflammation or several other potentially benign  origins. There is  really no treatment for  qualizing the difference in pupils.

Question 5

what is anisocoria vs anisometropia problem?

Accepted Answer

Pupil vs focus: Anisocoria is a difference in pupil size and anisometropia is a difference in the focusing power of the two eyes.  Anisocoria can sometimes lead to anisometropia if the pupil size makes it difficult to focus, but it does not work the other way around.

Question 6

what are some cosmetic approaches to benign anisocoria?

Accepted Answer

None: Benign anisocoria is usually very subtle and tough for observers to spot. Anisocoria, or different sized pupils, can be from a number of neurological and ocular problems. But benign anisocoria is a minimal (about 1mm) difference between the pupils in an otherwise normal individual. If you have a larger difference than this i would see an ophthalmologist.

Question 7

can neck problems cause anisocoria? any help appreciated!

Accepted Answer

Depends: There is a sympathetic nerve trunk which travels from the spine up the carotid in the neck supply the eye including the size of the pupil.  If this nerve is disturbed there can be pupillary changes.  You would likely see also a droop of the lid and a change in the pattern of sweating on that side of the face. It is called Horner's syndrome.

Question 8

what is anisocoria?

Accepted Answer

Asymmetric pupils: Anisocoria is when one pupil is larger than the other. Anisocoria may be congenital, caused by lesions in the brain or eye or induced by asymmetric topical application of meds. I believe david bowie has congenital anisocoria.

Question 9

what causes anisocoria?

Accepted Answer

Need to: Eliminate adie's and argyll-robertson pupil (formner reacts, does not accomodate, the latter the opposite), but elevated intercranial pressure. Parasympathetics constrict the pupil, sympathetics dilate it. Overaction of one on one eye will make the size of the pupile vary.

Question 10

what does anisocoria look like?

Accepted Answer

Anisocoria: One pupil is larger than the other.

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