My pupils often appear unequal in size. I'm now thinking the problem is with the smaller pupil (left eye). In bright light they usually appear small and more equal in size. The difference appears dramatic in photos taken with flash in dim light. I first became aware of the problem about 3 years ago, 6 months after leaving an abusive relationship. I wondered if being hit or kicked in the head could cause this. (I did have temporary loss of hearing in one ear with a hit to the side of the head.) I've read about some frightening possibilities including the many causes of Horner's syndrome etc. I'm 41 and don't have insurance. I also wondered if I went to an ophthalmologist, which i could afford, whether an insurance company could use the findings to prevent future coverage. Thanks