Hello Manda,
Dilation of the pupils is governed by adrenaline. And your symptoms certainly all suggest excessive adrenaline production.
One disorder that should be considered is a pheochromocytoma. This is an benign, adrenaline-producing tumor of the adrenal gland. Very treatable.
Other possibilities are genetic defects within the adrenaline pathway (such as MAO deficiency) or within the adrenaline receptors themselves - such as the supercoupled beta 2- adrenergic rec
eptors found in some people with Mitral Valve Prolapse Dysautonomia Syndrome (MVP Syndrome).
Insist on testing of your catecholamines (adrenaline, noradrenaline) and don't stop until this has been done. If they are abnormal, insist on specific treatment.
Don't believe anyone who tells you that your cathecholamines are high because you have some psychiatric disorder or another. This is absolute rot.
Just get the high cathecholamines to normal levels and the "psychiatric" issues (i.e., panic attacks) will dissapear.
Warmest Regards!
MH
It is important to continue the work up. See a neuro-ophthalmologist Eye MD physician. FInd one near you at www.aao.org
JCH III MD