Topic

Follow up to different pupil sizes

I wrote in about 2 months ago about a difference in my pupil size. I had had one eye that did not dilate at times as large as the other. Mostly in dim light but sometimes in normal light as well. I had an eye exam with an optometrist who did a retinal scan and checked pressure and all was normal. I saw my GP who did an evaluation in his office and when he first heard my description of what was happening he said something about MS being able to make the eye do that but after examining me he definitely said "There's nothing wrong stop worrying about it." I haven't thought much of it the past two months although it would still get larger at times than the other. I recently was diagnosed with asthma and have been put on a Qvar inhaler as well as a two week course of prednisone over the last two weeks. In those two weeks I've noticed my eye doing this much more often as well as the eyelid on the side of the smaller pupil taking "longer" to blink. In the mornings it seems to take longer to "wake up" it seems to blink much slower the first minute or so I'm up but after rubbing eyes/blinking it away it goes down to hardly noticeable. The only way I really noticed it was still doing it during the day was when I was making a video of myself with my son and he put it in slow motion and then I noticed that the eyelid is still slower to blink during the day. Does any of this call for a return to the doctor about the eyes? I have had a slight headache over that eye as well for the past two days but have contributed that to sinus/allergy issues. Thanks.

2015-02-05 11:34:01

David

Replies

Contents

Hi! If there is appreciable slowing of the blinking of one eyelid compared to other then yes this needs to be investigated. It can be due to infection in the eyelid (and hence pain) or due to a lax tendon at the medial or lateral canthus of eye or due to loss of elasticity of one eye lid muscles or due to swelling in the eye or muscle injury caused by repeated rubbing etc. You must also look into thyroid issues as these can also cause similar symptoms. Also localized nerve injury is another possibility. Chronic sinusitis on the side of affected eye can also cause slow blink reflex of that side due to sinus pain. Also if the allergy is affecting the eye it ca cause inflammation of the eyelid or eye and this can cause slow blink reflex on that side. Please discuss this with an eye specialist. Also avoid rubbing the eyes. Good Luck and take care!

2015-02-05 11:35:38

Amy