One pupil dilated after eye exam

[Habibi1]

I'm concerned because it has been about 36 hours since my 8 year old daughter had an eye exam (with her pupil's dilated) and altough her right eye is completely back to normal, her left eye is still completely dilated.  Is this something I should be concerned about?  She says she thinks the nurse put more drops in her left eye and her left eye burned after the drops whereas her right eye did not.  Thank you for any responses.

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

1 the procedure could cause some discomfort. That should abate.  
2. It should not cause a feeling that something is in your eyes.
3. The laser creates a burn, they eye heals the burn with scar tissue. Scar makes the seal close the hole.
4. Many floaters don't drop out of sight including the one's I've had for the last 40 years. In most people the brain tunes out seeing them (neuroadaptation).  The more you think about the floater the harder it is to ignore.

JCHMD

[skibase]

Would this also cause some occasional intermittent eye pain and a sensation that something is in the far corner (near my ear) of my eye. It comes and goes. The retina specilist put me on Prednisolone drops for this.

Also to be clear over time the retina will re-heal the scared areas?

Any thoughts on how long it will take for the floater I am seeing to somewhat subside (drop out of site) or for my brain to take over and look past it?

Sorry for all the questions but this has been a frightening experience for me and between 2 retina specialists and two surgerys for tears I get mixed reviews.

Thx!!

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

The laser is done to intentionally damage the retina and choroid to have them make scar tissue to seal the hole shut.  Yes in time the nerves may recouperate and the pupil work better. As I said only time will tell

JCH MD

[skibase]

If the nerves did in fact get dmaged due to the laser surgery will the nerves regenerate and eventually get better? Will the areas of my retina that were lasered heal and also get better over time?

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

Only time will tell. It could be an abnormal sensitivity to the drops in which case it should wear off in the coming week. On the other hand it is possible to have a dilated pupil of varying degree after a laser to close tear as the nerves to the pupil are immediately under the retina and they can be unavoidably injured due to the laser just above them

JCHMD

[skibase]

I recently had laser surgery to repair two tears in my retina along with sealing off some areas that had lattice degeneration. It has been over a week now and my pupil is slightly larger in  the eye that had the surgery as compared to my other eye. Will this subside after time? Is it due to the tramua caused by the lasers?  The retina specialists are not giving me good answers or don't seem concerned. Two different retina specialists in the same practice looked at it and one prescribed prednisolane drops for Uveitis and two days later his partner said everything looked Ok and to stop the drops. The pupil in the operated eye is still noticably larger.
Your thoughts

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

Don't worry its normal. How long dilated depends on type of drop, how much got in eye and color of eye. One eye usually wears off first because the second eye to get the drops is tearing and sqeezing and not as much gets in.

JCH II MD