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What Do Vision Problems And Enlarged Pupil After An Epidural Anesthesia Indicate?

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Posted on Fri, 29 May 2015
Question: My daughter had an epidural anesthesia 6 days ago for labor or greater than 30 hours. Now her left pupil is 2 times larger than her right pupil. At times vision is not as good. No slurred speech or weakness in her extremities. Is this a normal finding?
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Answered by Dr. Klarida Papaqako (3 hours later)
Brief Answer:
It may a normal finding, but in general it is a serious cause.

Detailed Answer:
Hello,
Thank you for posting your question to HCM,

You are describing a symptom called Anisocoria, which has several causes and it is only found in a small number of people.
You can be born with this condition, or it can develop over time. In some cases, there is no cause for the difference in size.
In addition, some people with anisocoria experience a difference in pupil size only temporarily and then the size returns to normal without treatment.
In some other people though, it may be a symptom of a serious cause, and that cause needs to be ruled out.

I would recommend to have it checked out since this is something new and the difference is pupils is not to be ignored.

Hope this is helpful. Let me know if you need more clarification. Otherwise please kindly rate and close the question.

Take care,
Dr. Papaqako.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1803 Questions

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What Do Vision Problems And Enlarged Pupil After An Epidural Anesthesia Indicate?

Brief Answer: It may a normal finding, but in general it is a serious cause. Detailed Answer: Hello, Thank you for posting your question to HCM, You are describing a symptom called Anisocoria, which has several causes and it is only found in a small number of people. You can be born with this condition, or it can develop over time. In some cases, there is no cause for the difference in size. In addition, some people with anisocoria experience a difference in pupil size only temporarily and then the size returns to normal without treatment. In some other people though, it may be a symptom of a serious cause, and that cause needs to be ruled out. I would recommend to have it checked out since this is something new and the difference is pupils is not to be ignored. Hope this is helpful. Let me know if you need more clarification. Otherwise please kindly rate and close the question. Take care, Dr. Papaqako.