An anisocoria in the medical language is a condition in which there is a difference in the size of the pupils, but a pupillary deformation is also possible. With different lighting, the pupil of one eye behaves adequately - narrows and expands, and the other pupil remains the same fixed size.
Children who at birth had different pupil sizes, often do not have pathologies.
And if a family member has a different size of pupils, then there is absolutely nothing to worry about, the difference in the size of the pupils, most likely, is genetic.
Uneven pupil size with a discrepancy of more than 1 mm, and even more so in the case of progress of this phenomenon, often indicates a disease of the brain, nerves orblood vessels.
The word "anisocoria" of Greek origin. The size inequality is associated with an imbalance in the operation of the eye muscles, which are responsible for the dilatation of the pu
The causes of anisocoria are conventionally divided according to three criteria:
This disease may be a sign of the development of some diseases, but a small difference of up to 1 mm in pupil sizes is the norm. At present, the reasons for the difference in pupil size are still unclear.
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This pathology usually occurs when:
In case of anisocoria enhancement in the lightwe can say about the parasympathetic excitation of the eyes, which is manifested in the dilatation of the pupil and in the reduction of reactions. Most cases of the development of anisocoria signal the damage to the oculomotor nerve, while causing doubling, restriction in the movement of the nerve, and often - strabismus.
If you see any abnormalities in vision, you should consult your doctor as soon as possible, because as with different pupils,
With the development of the syndrome of Adi, which is characterized by neuronal damage, it is usually combined with impaired vision.
If the symptoms of the disease increase when the source is removed and in a dark space, this is most likely due to Horner's syndrome( simple anisocoria).
This syndrome is caused by damage to the trunk of the spinal cord or its cervical region, which is accompanied by pain and weight loss of the muscles of the hand.
In this syndrome, in addition to the irregular shape of the pupils( for example, the shape of a pear and oval is often encountered).This syndrome manifests the unevenness of the edges of the pupils, the reaction to light is lost.
Diagnosis of this disease begins with a study of the history of the onset of the disease, and also with the study of neurological and physical examinations.
Diagnostic tests that are usually performed for this disease include:
An examination of patients with suspected anisocoria is performed by the doctor in a dark and bright room, the following results look as follows:
Anisocoria, which is in no way associated with the pathology of the iris, does not require treatment. Treatment should be directed to getting rid of the underlying disease.
All the recommendations for the treatment of anisocoria are prescribed by the doctor, and in strict dependence on the cause, which can cause the development of uneven pupils.
Depending on the diagnosis, the treatment includes:
The violation of the parallel operation of the irises of both eyes is caused by diseases of the brain. In inflammatory reactions, antimicrobial drugs of a broad spectrum of action are used, and the water-salt balance is adjusted.
The emergence of anisocoria after a head injury can serve as an indicator of intracranial catastrophe, which requires surgical treatment.
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If we talk about different sizes of pupils in eye pathologies and in traumas, then the therapeutic effect prevails in the therapeutic regimens. The essence of progressive methods of treatment often lies in the fact that it is necessary to eliminate the pathological process and to correct the muscular activity of the iris.
The most important postulate for suspected eye diseases is to seek help from a qualified ophthalmologist, as folk remedies are ineffective in such cases. If the primary examination of the doctor did not give the desired results, the patient will be sent to pass additional tests to confirm or refute the preliminary diagnosis.
Having determined the reason, the doctor will prescribe adequate treatment( most likely in a hospital).
Health is a value that is given to us for life, therefore it must be protected.
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