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Unequal pupil size - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   hi
i year ago i noticed that one of my pupils was smaller than the other and so did the optician, i saw a optomolgist at the hosp who check my eyes and said they looked the same size,
the other day i noticed a slight droop in my eyelid
so my question is can the some of the symtoms of horners sndrome happen a year apart
User :   Hi
User :   I am
User :   HI
User :   Let me read the query
User :   ok
User :   Are you concerned about Horner's syndrome
User :   What is your age?
User :   ye thats why i asked the questin can the symtoms be a year apart
User :   41
User :   Yes
User :   how come
User :   i thought if the pathway to the eye was distrubed then the symtoms would happen at the same time
User :   You have to remember that the Horner syndrome cannot be with a single symptom or sign
User :   i know that so how can these two symtoms be ayrapart
User :   There is lack of sweating on that side of face, lid lag
User :   I mean they cannot occur in one year
User :   i still sweat on boith sides
User :   Yes in that answer mean, I shall explain you about Horner's
User :   The reaction of the pupil is so peculiar that it can affect by different ways
User :   so the symtoms would appear at the same time
User :   yes all the symptoms appear in quick intervals
User :   in a Horner's syndrome
User :   right thank you my two symtoms have appeared a yr apart so therefore it may not be horner's and i have not lost sweating on one side of my face
User :   Ok
User :   do u agree with that or not
User :   Anisocoria is benign many of the times
User :   However it cannot be a single symptom / sign alone
User :   Sorry Anisocoria is unequal pupil size
User :   yes i know that what other signs would i look for fo it to be something else
User :   how do u know if u stop sweating on one side
User :   Please tell me if you have any other symptoms
User :   not relating to horner's anything for that matter
User :   Headache frequent, reddening of eyes
User :   Migraine headaches have unequal pupil size too
User :   about 10 wks ago i started getting a blind spot in my eye then a headache, doctor sent me of a ct scan of the head and a cartoid scan on my neck all ok said it was migraine with AAAAAAA have be seeing a crainial osteopath and since seeingher the headaches have gone
User :   must say i have never suffered with headaches thats why doctor sent me for the scans
User :   also had a ecg which was ok
User :   I need some more time to answer to the best of my ability
User :   Let me read now
User :   ok
User :   Migraine should be the first thing to be ruled out
User :   Apart from that, thromobisis and aneurysms
User :   well the hosp said it was mirgraine and the crainiel osteopath has stopped the headaches she said that my pitutary XXXXXXXX was stuk and theyerfore it effected my vision but she has unblocked it and have not had a headache for 6wks
Doctor :   ok
User :   do u believe this is possible
Doctor :   if the headaches were due to the pituitary gland issue which was resolved by the cranial osteopath, then the headaches will be gone
Doctor :   the optic nerve passes under the gland
User :   they have gone so it must have been that
Doctor :   and any problems causing pressure on it will affect the vision
User :   she said that about the noptic nerve
User :   right back to the one pupil smaller than the other it only appears smaller sometimes
Doctor :   ok.
User :   i also have an underactive thyroid could that effect the eyes
Doctor :   if the problem does not persist, then do not worry
User :   sorry have anxiety have had it since i got the first symtoms of the thyroid
Doctor :   are you on any medications for under active thyroid?
User :   yes i take 125mcg of thyroxine
Doctor :   ok, when was the last time the thyroid status checked? was it normal?
User :   it was done at christmas and doctor said all ok but levels were a bit lower and have been having problems with my periods and feeling not right so i upped it to 150mcg periods settled back down and felt better but then started feeling a bit hyper so have lower it back down to 125mcg
Doctor :   ok

Doctor :   it has been almost 6 months now, the thyroid status should be monitored every 3 months
Doctor :   so get it checked again
User :   oh they only do it yearly here
User :   my octor wont do it 3 monthly
Doctor :   ok, it is done yearly if there is good control found over 3-4 tests results
User :   i have had it for about 8 yrs
Doctor :   ok
User :   just to be clear the symtoms fo horners would happen quickly not a year apart
Doctor :   the symptoms of Horners can start anytime
User :   yes but would u get one symtom then a year later another one appear
Doctor :   yes, you could, as the disease progresses, the symptom intensity or development of new symptom occurs.
User :   i dont understand that as u said earlier the symtoms would appear at quick intervals
Doctor :   it can be fast in few people and can be very slow in few
Doctor :   if there is precipitating causes, the symptoms appear quick
Doctor :   if there is no precipitating causes, it wil appear slowly

Doctor :   there are 3 types of Horners syndrome

Doctor :   and the appearance of symptoms and progression can vary in each of them
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