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Medical Health Encyclopedia
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Normal pupil
Normal pupil


Eyes/pupils different size

Alternative Names:
Enlargement of one pupil; Pupils of different size; Anisocoria

Home Care:
Text Continues Below



Treatment depends on the cause of the enlargement of one pupil. For example:

  • For pupil size inequality caused by a head injury, get immediate medical help.
  • For pupil size inequality caused by a tumor, follow prescribed therapy. Stay active as strength allows. Work and exercise moderately. Rest when tired.
  • For pupil size inequality caused by meningitis or encephalitis, follow prescribed therapy and rest in bed in a darkened room.
  • For pupil size inequality caused by acute glaucoma, avoid emotional upset, which raises pressure in the eye. Don't smoke. Tobacco constricts blood vessels, reducing the blood supply to the eye. Follow prescribed therapy that may include eye drops to lower pressure inside the eye, diuretics to decrease fluid pressure in the eye, or pain relievers. After treatment, resume normal activities, but avoid fatigue. A low-salt diet is recommended.


Call your health care provider if:
  • Differing pupil size follows an eye or head injury -- get medical help immediately!
  • Differing pupil size is accompanied by headache, nausea or vomiting, blurred vision, or double vision.
  • Differing pupil size is accompanied by fever, stiff neck, eyes sensitive to light, or headache that worsens when bending forward -- get medical help immediately!
  • There is severe eye pain and loss of vision -- get medical help immediately!
  • Differing pupil size is persistent or unexplained.


What to expect at your health care provider's office:

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