Approimately 1 month ago I noticed that my pupils were different sizes. They were approimately the same size in bright light but with varying degrees of difference in low light conditions. Occasionally, they become very different and I notice a bluriness in vision. The degree of anisocoria varys sometimes frequently other times more fixed with the smaller pupil changing eyes i.e. "see-saw" anisocoria. I was evaluated by an opthamologist who found no problems with my eyes themselves and measured ~ 1mm in difference between the pupils. He referred me to a neuro-opthamologist who I subsequently saw. When I went to the neuro-opthamologist, my eyes were normal with no anisocoria present (only time in weeks) and I was told that there was no possiblity of pathologic problems and that the anisocoria was physiologic with no further work-up neccessary. My relative pupil size continues to vary wildly and I am having trouble believing that this is normal. I am very certain that this is a recent phenomena and I have looked at old pictures to confirm this. What might cause this anisocoria to suddenly start to occur? If my pupils are occasionally normal, does this mean I should not concern myself further?
Thanks for any insight,