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What Causes Sudden Unilateral Pupillary Dilatation?

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Posted on Mon, 24 Jul 2017
Question: My wife's eyes are unevenly dilated all of a sudden.
doctor
Answered by Dr. Neeraj Kumar (18 minutes later)
Brief Answer:
Provide more details and visit to a neurologist

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
Suddenly noticed unilateral pupillary dilatation may be due to opthalmoplegic migraine is associated with headache, vascular aneurysm in brain, third nerve palsy if there is ptosis and ocular motility abnormalities, idiopathic in some females.
You need to visit to a physician or neurologist for examination and investigation accordingly.
Is there any headache, vomiting, loss of consciousness, seizures, speech difficulties,?
Provide more details.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (36 minutes later)
She does have a headache. She thinks it might just be due to taking some eye drops for allergies earlier this morning. Could it be as simple as that?

And her vision is slightly blurred as well.
doctor
Answered by Dr. Neeraj Kumar (45 minutes later)
Brief Answer:
Possibility of acute glaucoma or drug induced

Detailed Answer:
Hello,
Eye drops may be a cause if it contains mydriatics. Let me know name and constitution of eye drops.
Another possibility may be acute glaucoma if there is eye pain and redness too.
Visit to a neurologist or ophthalmologist for evaluation if blurring of vision is also present.
Regards
Dr N XXXXXXX


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (46 minutes later)
How long could it last if its just a migraine, or eye drops?
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Will be over soon

Detailed Answer:
Hello,
The effect of eye drops may be over in 24 hours if medication stopped.
The migraine may abate in 2-3 days . Sometimes residual deficit may be present for more than a week.
Regards
Dr N Kumar
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Sudden Unilateral Pupillary Dilatation?

Brief Answer: Provide more details and visit to a neurologist Detailed Answer: Hello, I have gone through your question and understand your concern. Suddenly noticed unilateral pupillary dilatation may be due to opthalmoplegic migraine is associated with headache, vascular aneurysm in brain, third nerve palsy if there is ptosis and ocular motility abnormalities, idiopathic in some females. You need to visit to a physician or neurologist for examination and investigation accordingly. Is there any headache, vomiting, loss of consciousness, seizures, speech difficulties,? Provide more details. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist