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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7812
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I noticed one pupil is dilated more than the other. Im using

Resolved Question:

I noticed one pupil is dilated more than the other. I'm using Cosopt twice daily and Xalatan
once daily. This has never happened before...what causes it and should I be concerned?
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Are you having any nausea or is your eye red?

Dr. Rick :

Also, does your vision seem to be affected? What other medicines do you take, including OTC products, and what medical conditions do you have?

Dr. Rick :

I see that you are offline. We can use the Q&A system to 'text message' back and forth to work on your question.

Expert:  Dr. Rick replied 3 years ago.
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Expert:  Dr. Rick replied 3 years ago.
I am still here and available to work on your question and looking forward to your response.
Customer: replied 3 years ago.

I have no nausea or redness in the eye and my vision isn't affected. I do have a problem in that eye, things appear larger and there are no straight lines. I was told

the surgery to correct this is more serious than the condition.

Lipitor, 10 mg daily is the only medication I'm currently taking. Occasionally need Tums.

I take these vitamins and supplements: 1 Centrum Silver for Women, Caltrate 600

plus D x2, vitamin C 500 mg x 2, 1 B complex, vitamin E 400 IU x1, vitamin D3 2000

IU x 2, Lutein 45 mg x 1, Omega 3 fish oil 1200 mg x 1, and 1 daily regimen aspirin.

Today the eye seems to be near normal.

Expert:  Dr. Rick replied 3 years ago.
It sounds like you are experiencing physiologic anisocoria. This is a normal variation in the size of your pupils.

There are medical conditions that can cause this, such as migraines, adies tonic pupil, horner's syndrome, oculomotor nerve palsy and, everyone's favorite who asks questions on just answer, brain tumors, bleeding in the brain and other bad stuff inside your head.....

Also, many drugs and OTC herbal compounds can dilate or constrict the pupils...


The good news? The bad things don't change from day to day but physiologic anisocoria does. Physiologic anisocoria is nothing to worry about. It can be seen in up to 25% of the population at any given instant.

From what you are telling me I do not believe you have anything to be concerned about. However, having an ophthalmologist give you the once over couldn't hurt :o)

Does this make sense to you?


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Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7812
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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