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Doctor insights on: Unequal Eyes

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Dr. Neigatha Graney
23 doctors shared insights

Unequal Eyes (Overview)

Pupils of varying size.


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Am I weird to have unequal eyes?

Am I weird to have unequal eyes?

No: A difference in eyeglass prescription (or refraction) between the two eyes is called anisometropia. It is not that uncommon and can occur to some degree in about 6% of the population.. ...Read more

Dr. Neigatha Graney
23 doctors shared insights

Unequal Eyes (Overview)

Pupils of varying size.


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Looks weird to have unequal eyes. What can I do?

Looks weird to have unequal eyes. What can I do?

Determine cause & Rx: First determine the cause and then proceed with possible treatments. This could be due to skin, fat, nerves, muscle, tendons/ligaments, bone, and a variety of other causes. ...Read more

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Treating Crossed Eyes (Checklist)

See a strabismus eye doctor specialist ASAP
once
Wear glasses as recommended
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Follow patching regimen if prescribed
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Crosseyed! do I look weird with such unequal eyes?

Crosseyed! do I look weird with such unequal eyes?

Can be repaired: Only you can determine if you look "weird" with misaligned eyes, also called strabismus. First step is an eye exam to determine the cause and duration of the problem. Are you seeing double? Has it been this way since childhood? There are generally successful eye muscle operations to correct strabismus if the appearance is bothersome to the patient, and other neurologic causes have been ruled out. ...Read more

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I have one single eyelid and one double, do I look weird with such unequal eyes?

I have one single eyelid and one double, do I look weird with such unequal eyes?

Porbably not: You probably have some degree of asymetry between your lids. Weirdness is in the eye of the beholder and your lids probably do not look bad to others. If trusted friends indicate that it is obvious, then see an oculoplastic surgeon who can do an easy adjustment to equalize the lids. ...Read more

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Should I worry if my eyes are unequal sizes?

Should I worry if my eyes are unequal sizes?

No everybody's are: Everyone is asymmetric, that is, diference between the sizes of arms and legs and organs in each side of the body. What you have noticed is a normal finding. ...Read more

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Optometrist said to my husband his uva is 6/6 in both eyes and he appears mild case of mgd and iop unequal at r 12 and l 18 mmhg what that mean?

Mild problems: Uva 6/6 is normal vision. Iop of 12 /18 are normal range eye pressures but there still can be risk of glaucoma due to the wide range between eyes. Mgd meibomian gland dysfunction. These glands are located in the eyelid (oil gland) directly behind the eyelashes that produce a thin, oily fluid that lubricates the eye. They can get blocked causing dry eye and eyelid inflammation, this is treated. ...Read more

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Optometrist said to my husband his uva is 6/6 in both eyes and he appears mild case of mgd and iop unequal at r 12 and l 18 mmhg what he needs to do?

Optometrist said to my husband his uva is 6/6 in both eyes and he appears mild case of mgd and iop unequal at r 12 and l 18 mmhg what he needs to do?

MGD: These eye pressures are considered normal unless there are other findings on the exam. First line treatment for meibomian gland dysfunction is warm compresses to the lids for 10 minutes a few times a day, and increasing omega-3 fatty acids in the diet. ...Read more

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I have unequal refractive power in both eyes and I get persisting eye strain. Is there a solution?

I have unequal refractive power in both eyes and I get persisting eye strain. Is there a solution?

Adjust power: Once the eyes are unequal over 2 or 3 diopters (anisometropia), some people may experience eye strain. Also large differences can cause image size disparity (aniseikonia). Either adjust the refractive power by undercorrecting to match, by using contact lens, by doing some sort of refractive procedure, i.e. Lasik, lens removal, exchange or placement, etc. ...Read more

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I have unequal refractive power in both eyes and i get non-stop persisting eye strain. What should I do?

Various options: The eyes can adapt to differences in refractive power usually very successfully. If the difference is great, there are options with contact lenses that can compensate. See your ophthalmologist for better ways to deal with this. ...Read more

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Can ear infection/disorder/disease or vestibular issues cause unequal pupil size? Opthamalogist says eyes fine and he doesn't suspect neurological.

Can ear infection/disorder/disease or vestibular issues cause unequal pupil size? Opthamalogist says eyes fine and he doesn't suspect neurological.

How unequal: Vestibular lesion would not alter your pupil size. If an ophthalmologist examined you and determined it to be not a cause for concern, please let it be. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more

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Can eye exercises (yoga) work when eye power is unequal?

No: There are specific treatmentsexercises for certain eye muscle conditions. Nonspecific yoga exercises are just that=nonspecific. ...Read more

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Are you supposed to have a small pupil (unequal to the unaffected eye) after iridotomy and, if so, for how long?

Are you supposed to have a small pupil (unequal to the unaffected eye) after iridotomy and, if so, for how long?

Frequently: Iridotomy is done to protect your eye from an acute attack of glaucoma due to narrow angles (the space between the edge of the iris and the cornea). Usually a laser is applied to the iris to create a hole which by passes the normal fluid pathway preventing the problem. Your surgeon might have put into your eye a pupillary constrictor to aid in this and this makes the pupil smaller on that side. ...Read more

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Unequal vision is causing a lazy eye, how can this be fixed?

Unequal vision is causing a lazy eye, how can this be fixed?

Patching: Patching the good or strong eye is still the first treatment for lazy eye. If you have not seen an eye doctor, i would. ...Read more

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Pupils different sizes, noticed last yr. PCP noticed at physical. Since then notice it varies between equal and unequal sizes. Why? Ask eye doctor???

Pupils different sizes, noticed last yr. PCP noticed at physical. Since then notice it varies between equal and unequal sizes. Why?  Ask eye doctor???

Likely normal: About 20% of people have anisocoria, or unequal pupils. It is not indicative of any disease, and does not threaten vision. You have probably had it your whole life and never noticed. As long as you don't have any visual or other symptoms, there is probably nothing to do. Hope this helps! ...Read more

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Unequal pupils r > l. R eye feels swollen. R sided headaches. Occasional bright dots/sparks in r vision. Ct normal. Us carotids nil. What is wrong?

Unequal pupils r > l. R eye feels swollen. R sided headaches. Occasional bright dots/sparks in r vision. Ct normal. Us carotids nil. What is wrong?

Many: If it comes and goes, it most likely is a migraine. If it is persisting, it could be many diagnosisis. Horneres syndrome (but affected pupil should be smaller) / from trauama? / addies tonic pupil / optic neuritis (multiple sclerosis) / tumor (did the ct include brain and orbits?). ...Read more

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Unequal pupils r>l, both reactive, intermittent r eye pain and r sided headaches up to 3months. Noncontrast CT normal. Dizziness past few days. Tumor?

Unequal pupils r>l, both reactive, intermittent r eye pain and r sided headaches up to 3months. Noncontrast CT normal. Dizziness past few days. Tumor?

Neurologist, MRI: First, don't panic. Uneven pupils, aka anisocoria, are often due to a benign condition like migraines which would also explain the eye pain and headaches. However, more serious causes like multiple sclerosis and brain tumors are possible. You should see a neurologist who will likely order an MRI of the brain as part of a complete evaluation. ...Read more

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