hello, my 4 months baby has une pupils a little smaller (less than 1 mm)than the other one in situation when the ilumination is poor, it is no always present, she doesn,t has anhydrosis but that eye looks a little smaller .it is a situation of concern??
-born by cesarea due to breech presentation
- notice it since 1 months
-milestones:OK
what are the causes?
I would first see the pediatrician then get a referral, if deemed necessary, to see a pediatric ophthalmologist. Generally, the pupils should be mostly equal, so I think it is reasonable to have this checked out.
Michael Kutryb, MD