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I have uneven pupils. Could this be anisocoria?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

One of my friends recently pointed out that my pupils are sometimes uneven. I searched and got many scary possibilities. However, I did look at pictures from years ago and noticed different degrees of anisocoria. Now that someone has pointed it out, I obsess over it and see it a lot. It only happens periodically (at various times during the day), no other symptoms. What could cause anisocoria that is occasional and been going on at least three years as indicated by pictures? I am on medications for gastroparesis and generalized anxiety like Zofran, Phenergan, Pantoprazole, and Paxil. I read Paxil could potentially cause anisocoria.

Answered by Dr. Asif Manzoor

Education:

MBBS

Professional Bio:

Dr. Asif Manzoor is a skilled ophthalmologist dedicated to preserving and improving eye health. He provides expert care for a range of conditions, including vision correction, cataracts, and ocular diseases, combining advanced techniques with personalized treatment to enhance patients’ quality of life.      

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

There are different pathological causes of anisocoria, as you mentioned that you are taking medications, including Paxil (Paroxetine). It means drug levels are changed in blood and its effect on pupil size. If you are not having any problem, there is nothing to worry about as you know that its due to drugs or medications you are taking. If you notice any other changes like blurred vision, severe headache, or any neurological defect, then you should consult your doctor. You are alright and do not worry about scarce things. Just relax and enjoy life. You are most welcome for any queries.

Medically reviewed by Dr. Nithila. A
Published At July 19, 2019
Reviewed At April 29, 2025

Education:

MBBS

Professional Bio:

Dr. Asif Manzoor is a skilled ophthalmologist dedicated to preserving and improving eye health. He provides expert care for a range of conditions, including vision correction, cataracts, and ocular diseases, combining advanced techniques with personalized treatment to enhance patients’ quality of life.      

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Asif Manzoor is a skilled ophthalmologist dedicated to preserving and improving eye health. He provides expert care for a range of conditions, including vision correction, cataracts, and ocular diseases, combining advanced techniques with personalized treatment to enhance patients’ quality of life.      

This doctor is not available for online consultations on the platform anymore.

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