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Ask Dr. A.S. Desai Your Own Question
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2436
Experience:  MS Ophthalmology with 13 years of surgical expereince
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My eyes have felt very dry the last couple of days and when

Resolved Question:

Hi,
My eyes have felt very dry the last couple of days and when I woke up this morning, one of my pupils was extremely dilated and not changing. What could that be?
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. A.S. Desai replied 5 years ago.
Dr. A.S. Desai :

Hello, Welcome to Just Answer

Dr. A.S. Desai :

Is the pupil dilated in one eye only? Have you been able to see pupillary constriction in the other eye?

Customer:

Just one eye.

Dr. A.S. Desai :

Are you able to appreciate any drastic reduction in vision in the eye with a dilated pupil?

Customer:

It's just fuzzy. They other one seems to look and feel normal, except it feels kind of dry. Yesterday I was wondering if I was getting pink eye because of how my eyes felt.

Dr. A.S. Desai :

Did you experience any severe headache/eye pain /nausea or vomiting in the last 24 hours?

Customer:

I have had a daily headache for about 10 days now. I get migraines and have had extreme stress for the past 10 days.

Dr. A.S. Desai :

I would suggest that you stop using the Visine eye drops as these are only decongestant eye drops and will not help you with the present eye problem.

Customer:

I had bought the Visine A because I had a little rash on my eyelid a couple weeks ago. Would that cause the dilation?

Dr. A.S. Desai :

Since there is a strong history of ocular migraines, I guess the headache could be due to that . You can take Tab.Acetaminophen/Paracetamol, 650 mg, twice a day for symptomatic relief. For the dryness of the eyes you can start using lubricating eye drops such as preservative free Refresh tears eye drops, 1 drop 4 times a day, for 1 month(available over the counter).


Customer:

Do you mean the dilation can be due to migraines/

Dr. A.S. Desai :

No, visine A would not have caused a dilated pupil.

Customer:

Okay - any idea when it might normalize and am I okay to drive?

Dr. A.S. Desai :

Pupillary reaction is a very sensitive eye test and should be preferrably be deciphered under ideal test conditions by a specialist. If you still continue to see a fixed and dilated pupil in only one eye, I would suggest you repeat for the pupillary reaction- stand in fron of the mirror, cover the eye with normal pupil, then shine a bright torch from the side on the eye with the dilated pupil. Normally the pupil should immediately constrict.

Dr. A.S. Desai :

"front"

Customer:

ok

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