Doctor insights on:
Lupus Uneven Pupil Dilation
See an eye doctor: It can be normal, especially if it has always been present. There are certain conditions that can lead to one pupil dilating more (or less) than the other. If the pupil difference is new, it should be evaluated by an eye doctor soon. The condition itself is usually harmless, but the underlying cause needs to be addressed. ...Read more
Yes.: This can be either due to the drops that the doctor uses in each eye or due to a difference in each iris of the person who is being dilated. The doctor may use a stronger combination of drops in one eye resulting in uneven pupil dilation. The iris of one eye may have an anatomical difference in its make-up that is either congenital or acquired (trauma) that could lead to uneven pupil dilation. ...Read more
Dilated pupils can occur as a side effect of various medications and several illicit drugs. Serious medical conditions such as serotonin syndrome can also cause this. Insomnia for a night or two would not usually result in dilated pupils.
How long have you had insomnia? Have you been depressed or started a new medication? See your doctor to be sure and bring a list of all drugs, herbals takin ...Read more
Sudden bilateral pupil dilation in normal light, pupils responded to direct light but returned to dilated size, normalised after 10mins. Cause?
Many causes of pupil dilation, including
emotions - higher levels of circulating adrenaline, which occur during times of excitement or fear.
drugs - from eye drops to hallucinogenics. Especially drugs that are anticholinergic
light - low light, or a problem with receiving light on the retina
neurologic problem - from the optic nerve to the part of the brain that regulates the eyes. ...Read more
How can one reduce pupil dilation? I take aderall 30mg XR once every am 5 mg ir evening. Most days iris all but disappears, and I look like a junkie
Constricting pupils: Aderral can cause pupil dilation, so the options are to reduce dosage or eliminate the aderral, switch to a different drug (eg if you are treating adhd, straterra may be an option, or other treatment). Taking another drug to constrict the pupil (eg, Pilocarpine 1% 1 drop) may also cause other side effects, like pinpoint pupils, blurry vision, corneal irritation. & long term use: lens opacification. ...Read more
Yes.: Drug induced pupil dilation generally lasts roughly 3 to 4 hours where the patient is blurred for reading but generally can still see well at distance. Some eyes are more sensitive to the dilating drops, especially lighter colored eyes that have less melanin pigment. In these eyes the dilation may last several hours and even have a lingering effect into the next day. ...Read more
Had migraines w/aura since 7yrs old, right pupil dilation & have a headache daily. No medication had helped. What could cause this?
The migraine aura:
Is a neurosensory disturbance that includes a series of idiopathic, recurring neurologic symptoms that develop gradually over a 5-20 minute period and last less than an hour. An aura that lasts more than 60 minutes may be indicative of more serious pathology. As the aura abates there may be a pain-free interval. Take your medication before the headache occurs at aura end.
See OFP specialist. ...Read more
No.: Lack of sexual activity or excess sexual activity will have no effect on the normal, daily, stable size of your eye's pupil. Your eye's pupil may become dilated during sex if you are engaging in the activity in a dimly lit room as a normal reaction to the eye needing more light to enter the eye and impact the retina for one to see. Lack of sex may make you a poor "pupil" of sex however. ...Read more
Pupil dilation: When you look at your eye is the mirror, the dark circle in the center is the pupil. Dilating drops make the pupil larger and allow a more complete eye exam robe performed. Dilation takes about 15-20 minutes and lasts 3-4 hours or longer (depending on which drops are used). ...Read more
Not always: If you are referring to having your eyes dilated with drops in the ophthalmologist's office, this is generally safe, except when you have "narrow angles." this can be determined by your eye md. If your pupil spontaneously dilates, this can be a sign of a problem in the brain (tumor, aneurysm, etc) and should be evaluated right away by an ophthalmologist. ...Read more
A few hours: Typical dilation usually lasts between 4 and 6 hours. When a chile is dilated, it may last a few hours longer. If dilation lasts more than 24 hours, you should contact your eye doctor. ...Read more
Drugs: Drugs.Get a more detailed answer ›
Yes.: It is common, expected and practically universal. Your pupil is dilated by the eye doctor in order to be able to get a better and more complete view of the back internal structures of your eye (retina, macula, optic nerve). The drug induced dilation temporarily paralyzes the muscles in the iris & ciliary body that one uses to properly focus resulting in temporary blurred vision mostly at near. ...Read more
Pupil dilation: I offer reversal pupillary dilation drops called dapriazole, which lessen the duration of dilation by about 4 hours. Of course it depends on which dilating eye drops the doctor is instilling. ...Read more
Dry eyes n floaters. 3 days ago, did an eye exam when pupils are dilated. Want to get a 2nd opinion. When is it safe to get 2nd pupil dilation exam?
Anytime: You can go ahead and get a second opnion at anytime, regardless of last dilation date. Good luck. ...Read more
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