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Dr. James
Dr. James, Board Certified Ophthalmologist
Category: Eye
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Experience:  Eye Physician and Surgeon
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She gets dialated eyes sometimes during the day light hours

Resolved Question:

Our adopted daughter is 5. She gets dialated eyes sometimes during the day light hours. What could be causing this? Her birth mother did do some drugs and alcohol. Thanks for your help!
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. James replied 6 years ago.
Chat Conversation Started
Dr. James :

Hello.

JACUSTOMER-fgbof32w- :

Hello. thanks for taking the time to answer our question.

Dr. James :

You're welcome.

Dr. James :

Please Note:
JustAnswer is a public forum. Information provided is for educational purposes & does not establish a patient-physician relationship nor substitute for a personal consultation with a physician.

JACUSTOMER-fgbof32w- :

what is next

Dr. James :

Do you accept the disclaimer is just stated?

JACUSTOMER-fgbof32w- :

yes

Dr. James :

Thank you.

When her pupil dilates, do they both dilate?
Are they about the same size?
Does she report any problems with her eyes?

JACUSTOMER-fgbof32w- :

Both, they are the same size, and she has just indicated to us that she does notice it.

Dr. James :

What is that she notices? Blurry vision? Pain?

Dr. James :

*What is it that she notices?

JACUSTOMER-fgbof32w- :

No, she has not mentioned anything, we think she has seen them in the mirror.

Dr. James :

When the pupils are big, do they get smaller when you shine a bright light in it?

JACUSTOMER-fgbof32w- :

She asked her mother today, if her eyes were bigger or little while outside.

JACUSTOMER-fgbof32w- :

We have not tried the light in her eyes, should we?

Dr. James :

Yes, that would be helpful.

JACUSTOMER-fgbof32w- :

OK, next time we will try it.

Dr. James :

Children can sometimes have very large pupils naturally. As long as they get smaller with light and are about equal size, then it can be normal.

Dr. James :

Other symptoms of concern would be blurry vision, crossed eyes, eye pain, and light sensitivity.

Dr. James :

It is more concerning when one pupil is larger than the other, rather than both being big but similar size.

JACUSTOMER-fgbof32w- :

We will continue to watch for these. Do you have any concern about the birth mothers history?

Dr. James :

A history of maternal drug and alcohol use is not likely a factor.

Dr. James :

With that history, the worry is with abnormal brain development and birth defects during critical stages of development in the womb.

Dr. James :

If she is doing well at her well-child visits with her pediatrician, then it is not likely a concern.

Dr. James :

Regarding her eyes, if you are concern, an exam by an ophthalmologist or optometrist can check to see if they are healthy.

JACUSTOMER-fgbof32w- :

Anything else? Thank you for your time and answers!

Dr. James :

Do you have any other questions I can help you with today?

JACUSTOMER-fgbof32w- :

At what age does a childs eyes stop developing?

Dr. James :

A child's eyes continually develops. But critical stages of eye development after birth is usually the first couple of months after birth. The size of the eye stabilizes around age 2-3. An eye continues to matures slowly thereafter fine tuning its connection with the brain until about age 7-9.

JACUSTOMER-fgbof32w- :

Thanks, XXXXX XXXXX great night!

Dr. James :

You're welcome.

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