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Date of last update: 10/04/2017.

Forum Name: Neurology Topics

Question: My anisocoria is getting worse. What should I do?

 justjenn - Mon Sep 21, 2009 3:46 pm

I was told about 4 years ago that I possibly had anisocoria. Recently it has been acting up more often than not (ie several times a day as apposed to just once or twice a week). Is there anything I can do to help it before I see the opthamologist on Friday?

Also I have 2 small knots on the back of my head. Both of them are close to my ears, though one is higher than the other. The one on the right side has been there about 4 years but the other one just popped up today. Should I be concerned and could they be related to my anisocoria?
 Tom Plamondon PA-C - Wed Oct 28, 2009 9:53 pm

User avatar Hello,
The knots behind the ears are probably sebaceous cysts. They are not related to anisocoria.

If the pupils constrict during accommodation but sluggish reacting to light, you should test for syphilis.

Otherwise your ophthalmologist will do a complete history and physical to rule out glaucoma or central nervous system causes.

Some anisocoria is a normal variant (Adie's pupil)

Take care.

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