uneven pupils and eyelid twitch

[lore27]

For more than a year I had this situation were my left pupil looks bigger than my right, I get headaches because of the light sensitivity. When I told my doctor since she could not see me she send me to the ER to rule out something neurological, the CAT scan showed nothing, and it was suggested I should get an MRI, but I did not follow up because I got pregnant and there was no other symptom than that, but today my eyelid is twitching to the left, pulling away from the nose, very annoying. Do you think it might be something to worry about, should I get the MRI, consult a neurologist or an ophthalmologist?
Thanks

[Sandy Feldman, MD, MS]

Dear Lore27,

I would definitely recommend that you see an eyeMD to determine the difference in pupil size and evaluate your visual symptoms of eyelid twitch, and eyes.  The cause cannot be determined over the internet without an eye examination.  

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California

[dukey]

Jesus a CAT scan an MRI for what sounds like physiological aniscoria and light sensitivity from dry eyes!! Some people have twitches, especially in the eyes. I sometimes get very strong twitches when I am very stressed which is all the time.

You might want to look up turner syndrome though.  

[Marsta8]

When I was born, my tear duct didn't develop properly.  A simple procedure was performed in order to open the duct, and get the tears moving properly.  I  believe the doctor simply inserted a probe to open the duct.  The process was successful.

The problem that I am experiencing is a twitch, that has been constant for well over 15 years.  It was first noticed in elemetry school by a fellow student.  It is located predominantly on the lower eyelide, and there is slight evidence of it on the upper lid as well.  (The left hemisphere of my face is not symmetrical with the right, when I smile, my face tends to shift more to the right.  I also have a "lazy eye" on my left eye, which was something that I grew up with.)  The twitch always occurs whenever I blink, speak, frown, eat and sometimes when I swallow.  Any movement done by my facial muscles seems to activate the twitch, but it is mainly a result of movement generated by my moth and eyes.  Doctors have told me that it is a "nervous twitch" and it will go away, but as I have said before, its been years already.  An assistant that I worked for in Vision Thearapy thought that the twitching was due to a Cranial Nerve (V) that may be out of whack, or that I might of had a stroke some time in my life.  I have not experienced any pain, but it is quite bothersome every time I speak, and smile.  Could it be possible that there is just a nerve that is out of wack that can be fixed if found?  Or maybe a muscle in the face that needs to be strengthened?  I don't want to overlook this as something insignificant that could potentially harm me in the future.  I hope you can help or direct me in the right direction.  Thanks

Marsha