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4 month old uneven dilation

Just the other night we noticed that our 4 month old daughter's left eye was dilated more than the other.  We rushed her to emergency despite the fact that there was no change in demeanour, feeding, pooping, or anything else.  She was actually quite happy at the time and focusing in on, watching and laughing at our dogs wrestling and running around.  The nurse said there was no rush she did not think it was serious so we took her home.
We have since taken her to a GP who had no idea and an optometrist (of course it was not doing it while we were in there) who mentioned irritation and possible syndromes that were not likely as we don't believe she was born this way and has suffered no trauma.  (He did not mention what syndromes).  He said he would refer us to an ophthalmologist but this could take months to get in where we are.  
The left eye simply seems to dilate more than the right at times.  It does not do this all day nor seem to be effected by light.  (If it gets brighter they both dilate more and one is still bigger than the other).  Then it will go away for hours, and they will remain the same size and react to light evenly,  but it will come back again later.  Any suggestions as to what this might be?  Everyone seems to think that we are more worried than we need to be, is our concern warranted.  Or can this wait that long to be seen by an ophthalmologist or paediatrician?
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233488 tn?1310693103
MEDICAL PROFESSIONAL
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Avatar universal
Our 4 month old has the exact same condition. Any new findings?
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Avatar universal
I followed the link and it notes than only one pupil reacts to light .  However, both of her eyes react to light and the absence there of, and both react evenly, even when they are different sizes?  Does this rule out Adies? or is this still a possiblity?  Is there something else it could be? Should we be going to emergency and pushing to see the pediatric opthamologist at the childrens hospital where we are?  
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233488 tn?1310693103
MEDICAL PROFESSIONAL
Your child nees to see an Eye MD ophthalmologist as soon as it can be scheduled. A common cause of this is Adies' Pupil

Follow this link:
http://www.mrcophth.com/pupils/Adie.html

JCH III MD
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