Dilated pupil after blunt trauma

[karp989]

Hello Dr> Well this is my story, 27 days ago i suffered from blunt trauma right on my left eye. A day after the accident i had a lot of black spots(floaters). And my vision seemed really blurry. This happened on a friday night, so i had to wait till monday because since i don't have insurance i didn't want to visit the ER. So on monday i went to see my opthamologist and he noticed that my pupil didn't react to light. He told me that i had a torn sphincter. Even before he prescribed me with cyclopentolate drops my pupil was almost the size of my iris. After about 1 1/2 weeks my pupil decreased in size somewhat. not much tho. I have kept seeing my MD. They told me that i was lucky because it seemed that the optic nerve was ok, my retina was ok aswell, and that i didn't have a dislocated lens. yeah the only problem was my pupil. My doctor told me that there was little probability of my pupil ever healing i guess. i'm still on pred-forte 4x a day because my iris is still inflamed.Before the accident my corrected vision was 20/20 now is 20/30. My near vision right after trauma was blurry, now it improved a little. Also my pressure was a little high at first now it stabilized back to normal. Ok now this is my question: I have read about Pilocarpine drops and Thimoxamine drops: What do you think about this drops? Well My MD told me we can use the drops, but she said till my iris goes back to normal, because is still inflamed.

Any points, recommendations,knowledge and wisdom  or any possible solutions that might help me will be really appreciated! Thanks Dr: JCH :)

[karp989]

Well thanks for your reply Doctor. I kind of read some information about your educational background and saw that you went to cedars-Sinai. I actually had My eye checked at this facility and i spoke with Dr. Oleynikov. He told me that there's not much hope for my pupil. I actually would like to ask you something that concerns me, before the injury i was able to distinguish objects at night or dark rooms. Now it seems that i can't see nothing in dark spaces. When i compare my 2 eyes there is an obvious difference. two MD's already checked my retina with the special round lens they use and told me that my retina seemed fine. But what can be causing the dark vision in my eye that had trauma. Is there any test that can be done to diagnose this problem. And would seeing a retinal specialist help, even tho i have already seen 2 ophthalmologists.
Thanks for responding to my first question, and i hope to find out what could be causing this problem, since i know it was caused by my blunt trauma.

[Ray T Oyakawa, MD]

Pilocarpine will not help an iris with a torn sphincter.  It is worth a try since you do not know the degree of damage.

Dr. O.