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A 38-year-old member asked:

what are some cosmetic approaches to benign anisocoria?

2 doctor answers3 doctors weighed in
Dr. Faramarz Hidaji
Cosmetic Surgery 29 years experience
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.
Dr. Jay Bradley
LASIK Surgery 18 years experience
Treatment options: Since benign anisocoria is typically only 1-2 mm, most patients do not need treatment. If cosmetically undesirable, otc vasoconstrictor drops 1-2 times a day can be used on the eye with the smaller pupil to balance the pupillary sizes. If this is not acceptable, some patients will see their eye doctor who can prescribe alphagan (brimonidine) 3 times daily to the eye with the larger pupil.

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A 38-year-old member asked:

Could anisocoria be concealed with colored lenses?

2 doctor answers4 doctors weighed in
Dr. Glenn Pomerance
Ophthalmology 47 years experience
Yes: Cosmetic contact lenses are available to mask both anisocoria and aniridia. An eyemd can guide you on where to find them!
A 29-year-old member asked:

What causes anisocoria to occur?

1 doctor answer1 doctor weighed in
Dr. Dan Fisher
Internal Medicine 27 years experience
Several things.: 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.
A 42-year-old member asked:

What causes alternating anisocoria?

1 doctor answer1 doctor weighed in
Dr. Dan Fisher
Internal Medicine 27 years experience
Medications: I believe this is probably medications either deliberately or unintentionally being placed in the eye. Sometimes pulmonary meds or powders can inadvertently get in the eyes... It only takes a small amount.
A 46-year-old member asked:

Is there a way to manage anisocoria?

1 doctor answer1 doctor weighed in
Dr. Beth Friedland
Ophthalmology 42 years experience
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.
A 42-year-old member asked:

What is anisocoria?

2 doctor answers2 doctors weighed in
Dr. Dan Fisher
Internal Medicine 27 years experience
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.

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Last updated Jan 17, 2014

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