Unit 3: Pupil Abnormalities, Facial Nerve Palsy & Ptosis

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  • Up to 0.5 mm of anisocoria (size difference) is considered physiological
  • Physiological anisocoria is the same in all light levels
  • Pathological anisocoria usually varies between light and dark conditions
  • Pupil size is determined by the balance between the sphincter and the dilator muscle
Physiological Anisocoria - in the light and in the dark

Source: EyeRounds.org. Contributor: Andrew Doan, MD, PhD for Sohan Hayreh, MD, PhD, University of Iowa.

Physiological Anisocoria - in the light and in the dark