There is yet a third very serious condition that can cause the appearance of one pupil larger than the other: ocular melanoma. It may also be caused by a brain aneurysm – another serious condition that needs prompt medical attention.Ī brain aneurysm is a bulge in a blood vessel that may rupture, spilling blood into the brain. You need to get it checked out immediately.” Boxer Wachler explains, “Without being dilated with eye drops, if one pupil is dilated and not responsive to light, this could be from a brain tumor. However, when someone notices that one pupil is bigger than the other, there may be no recent history of optometrist eye drops to dilate the pupil.ĭr. Brian Boxer Wachler, MD, eye surgeon and founder of The Boxer Wachler Vision Institute, and developer of the Holcomb C3-R® procedure which treats a degenerative eye disease. “If you had your eyes dilated at the eye doctor’s office and one is still dilated, the dilation will go away by the next day,” says Dr. This is very concerning – even if it was temporary and soon after, your pupils seem to be the same size again and are responding to changes in light. ![]() Or, if you’ve been in a dim room and then flip on the lights, holding a mirror before yourself, and you see the “normal” pupil adjusting, but the other one doesn’t show much response. The key issue here is the lack of response to light, as in, shining a flashlight into the larger pupil and observing no response. If you suddenly realize that one pupil is noticeably larger than the other and does not respond to light, take this matter seriously.
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