Irritability, anisocoria and more.....

[xander709]

Hi,

I've been feeling very irritable for the last two weeks. I also feel lethargic and slightly depressed :(

I've also started going through periods where I can't think clearly. This can last for a few hours before returning to normal. It is happening most days. During these times I get quite anxious. Yesterday, during one of these spells, my head suddenly felt very hot, I broke into a sweat and thought I was going to faint (but luckily I didn't!)

My eyesight also seems to be affected. Sometimes it seems as if I'm looking through a slight haze. Because of this I went to check my eyes in a mirror and noticed my pupils were different sizes. I looked this up and found out it is called "anisocoria". Since I noticed this it seems to be temporary but is present more often than not. I have never had this before two weeks ago. Also, the difference in pupil size is greater in dark conditions than in bright light. The big pupil is always on the same side.

I took some photos to demonstrate:

http://www.medhelp.org/user_photos/show/88959?personal_page_id=558157 ;  (Daylight)
http://www.medhelp.org/user_photos/show/88958?personal_page_id=558157 ;  (Dim light)

This all started a few weeks ago, together with some other vague symptoms. I swear I'm not on drugs!

Does anyone else have similar symptoms or know what could be causing them? Part of me thinks it could all be depression or anxiety related?

[Dr Vinod]

You have to visit a neurologist to find out what is causing this. Your pupil when contracts is called miosis and when dilated is mydriasis. Miosis occurs when there is bright light and mydriasis occurs when there is dark light. There might be ,some loss of 3rd cranial nerve function. An ophthalmologist will also help in coming to diagnosis about other ocular problems like Glaucoma, optic nerve atrophy etc.  Take care!