Permanently Constricted Pupils

[B_GD]

For about twenty years, I have had constricted (pinpoint) pupils. In fact maybe further back than that. Just inside my forties, it starts to bother me more than it used to.

Why is the question and is there any remedy?

I led an at times wild teenage and early twenties life, that included the occasional (but not regular) use of things such as MDMA (Ecstasy) and LSD, alongside heavy drinking at weekends. Never the heavier drugs though that one finds associated with constricted pupils when looking online.

I split my head open in my late teens on three occasions - bicycle ride, climbing tree and an altercation.

Are either of these good indicators? How would you tell, a brain scan?

I do not though seem to have too much problem either in a dark room or at night, or for what it's worth, in bright light. The main issue, I guess, is that it looks odd and that people do comment on it (and probably more frequently refrain from commenting and make assumptions). My grandmother did go gradually completely blind late in life (not sure of the underlying) and of course I want to make sure that it is not possibly indicative of something of concern.

Any suggestions gratefully received.

[John C Hagan III, MD, FACS, FAAO]

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[B_GD]

I certainly do - the paragraph above that suggests otherwise was reflective of a window in late (and somewhat over extended) adolescence twenty years or more ago. Thanks again.

[John C Hagan III, MD, FACS, FAAO]

Be sure you are leading a healthy lifestyle and drug free and not abusing alcohol or using nicotine. Take your health seriously and live healthy.

JCH MD

[B_GD]

Dear John C Hagan III, that's very good of you to respond. As usual reading things about a condition on the internet are more liable to alarm than anything else! I will do as you suggest.