![]() ![]() Surgery - If you have third nerve palsy is related to an aneurysm or mass, you may need neurosurgery. Sunglasses - If your pupillary abnormality has caused your eyes to be unusually sensitive to light, you should wear protective sunglasses whenever outdoors in sunlight.Įye Drops - If you have Adie’s tonic pupil, your eye care specialist may prescribe Pilocarpine eye drops to constrict the affected pupil. Prism Eyeglasses - Wearing eyeglasses affixed with a prism may help relieve your diplopia. ![]() Treatment of underlying cause - If Horner syndrome or third nerve palsy is related to an underlying cause, treatment is needed.Įye Patch - If you have third nerve palsy, wearing an eye patch over the affected eye may help reduce double vision (diplopia). None Required - There is no treatment required for physiologic anisocoria. Imaging - If your specialist suspects you may have Horner’s syndrome, they may order magnetic resonance imaging (MRI) or a computerized tomography (CT) scan to locate the site of the abnormality that is causing the condition This may include using eye drops to dilate your pupils to see how each react to the dilation process. Your doctor will conduct a thorough physical examination of your eyes – as well as gather a complete health history – to determine if you have a pupillary abnormality. Difficulty focusing on objects in near visual field.Decreased or increased size of one pupil.Symptoms of a pupillary abnormality include: Adie’s tonic pupil: one pupil is permanently dilated and unresponsive to light and other stimulants.Third nerve palsy: one eyelid is completely closed, and that eye has moved outward and downward.Horner’s syndrome: disruption of a nerve pathway from the brain to the one side of the face and that eye.The main types of pupillary abnormalities include: When there is a problem with your pupils – the black part at the center of your eyeball – you have what’s known as a pupillary abnormality. ![]()
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