I have uneven pupils and am concerned about something serious. The left is slightly larger in normal light, and quite a bit larger in dim light - I believe more than 1mm.
I was first made aware of this difference in pupil size 10 years ago by a neurologist I visited for dizziness. At the time I had an MRI with and without contrast, MRA, EEG - all normal. Since then I've had at least one chest x-ray (about 6 years ago) for a cracked rib and it was normal. I have no ptosis, pain, or loss of sensation or lack of sweating on that side of my face. I never thought much of it untiI recently had a VNG and with the lights dimmed the audiologist said it almost looked like two different persons' eyes. I have no idea if the difference was that much 10 years ago or if it's gotten worse.
Since I've the uneven pupils for at least 10 years, should I still be concerned?
Is it possible that if it's gotten worse that it could be Horner's even without the associated ptosis, etc?
I had a dilated eye exam in December and nothing was noted, however my eyes were dilated before the opthamologist saw me. The tech noticed the pupils and put it in my chart, but the doctor didn't say anything about it.
I am scheduled for an MRI tomorrow (for other reasons).