Uneven Pupils

[jkim1684]

awhile back upon graduating high school I have become very depressed which eventually lead to a health type of anxiety disorder. When I was 20 years old I went to the ER numerous amount of times because I was affraid that I had Brain Tumor, Testicular Cancer, Lung Cancer, Bladder Infection, Etc.

When I was thinking that I had a brain tumor, I noticed my pupils were different at the time, and eventually I got into a University, so fergot completely about my health issues and felt great and got through it.

I have finally graduated, and upon graduation I started having really bad anxiety attacks such as me being HIV positive,  dying when taking my wisdom teeth out under IV sedation, and now back to Uneven pupil dilation = aneurysm.

I have noticed that many people on these forums asking about uneven pupil dilation seem to be very anxious and have the same problems that I have.  For me, my right pupil is the one that occasionally becomes abnormal. Sometimes my eyes look perfectly even and at other times they don't. I have also noticed that if I concentrate hard enough in the mirror while my pupils are even, the right one becomes bigger and causes me to have this very stressful feeling rushing down my body because the size changes in front of me. I have absolutely no other symptoms and have stayed away from all types of medication. I do take tylenol sometimes, but I doubt that's the cause.

I do believe that the brain is very powerful, thus causing all these physical symptoms when one has a generalized anxiety disorder. I have never noticed my pupil being larger prior to 2004 and can say that during 2004 I remember myself having alternating anisocoria, but now it only happens to one side which is the right. Sometimes normal sometimes not.

I do not have insurance which makes it hard for me to cope with, so does anyone have any ideas as to what this might be?

Can Anxiety do this to my eyes, even though I'm not any medications?

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

Your risk of suicide are likely much higher on no medicine and not seeing a psychiatrist than if you were under the care of one. Why be miserable your whole life.

JCH MD

[jkim1684]

Thanks for such a fast response.

In 2004 everytime, I have been to the doctors they always told me that I had nothing to worry about, and heavily considered taking anti-depressant pills, but I have heard that sometimes it may release thoughts of suicide which deterred me from taking them.

When my pupils are uneven the larger pupil is usually no bigger than 1mm from the smaller one, but it is on and off throughout the day.

My thought of Physiological anisocoria was that it stays consistently that size and is visible at any moment of the day. when I look at mine sometimes they are even, sometimes they are not, and sometimes one expands right in front of my eyes.

Thanks again JC Hagan!