Is anisocoria harmful?
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Physiological anisocoria is when there is a natural, small difference in the size of a person’s pupils. This is not harmful and does not require treatment. However, a sudden and pronounced change in one pupil size can indicate a medical condition.
What does it mean if a patient has anisocoria?

Anisocoria is when your eye’s pupils are not the same size. The pupil allows light to enter the eye so that you can see. Anyone can have pupils that differ in size with no problems. In fact, one out of five people have pupils that are normally different sizes.
What neurological conditions cause anisocoria?
Important etiologies of anisocoria include third nerve palsy, Adie pupil, pharmacologic mydriasis, pharmacologic miosis, traumatic mydriasis, physiologic anisocoria, and Horner syndrome. A third nerve palsy (TNP) may spare the pupil or cause it to dilate with no reaction to light or convergence.
How do you treat anisocoria?
Your doctor’s recommended treatment plan will depend on the underlying cause of your anisocoria. For example, if an infection is the cause, your doctor might prescribe antibiotic or antiviral eye drops. If you have an abnormal growth, such as a brain tumor, your doctor might recommend surgery to remove it.

Can MS cause anisocoria?
This condition is often associated with multiple sclerosis. Anisocoria (unequal pupils) – Unequal pupils can be observed in neurologic conditions such as migraines, Horner’s syndrome, Adie’s tonic pupil, and third nerve palsy.
Can migraines cause different pupils?
That kind of difference in the size of the pupil — a phenomenon known as anisocoria — could be seen in people with migraines, the doctor told the anxious woman.
What is anisocoria?
Anisocoria is when your pupils are different sizes. Anisocoria is when your pupils are different sizes. My DashboardMy EducationFind an Ophthalmologist
What is the normal range of anisocoria?
Physiological Anisocoria Physiologic anisocoria is usually defined as a pupillary inequality of 0.4 mm, seldom greater than 0.8 mm, not due to a secondary cause. If the anisocoria is physiologic, the difference in pupil sizes should remain equal in dim and bright lights.
What is anisocoria (uneven pupils)?
Anisocoria is when your eye’s pupils are not the same size. The pupil allows light to enter the eye so that you can see. Anyone can have pupils that differ in size with no problems. In fact, one out of five people have pupils that are normally different sizes. Sometimes, though, having uneven pupil size can be a symptom of a serious eye problem.
How is anisocoria diagnosed?
To diagnose anisocoria, your ophthalmologist will examine your pupils in both a lighted room and a dark room. This allows them to see how your pupils respond to light. This can help them figure out which pupil is abnormal. Your ophthalmologist will also check your eyes with a slit-lamp microscope.