unequal pupil dilation


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  • #62583


    Hello, fellow migraineurs, I am wondering if anyone has any experience with unequal pupil dilation during a migraine attack or even just day to day. I am not referring to individuals who always have unequal pupil size, but has any one developed this symptom outside of their natural genetic condition. I have been experiencing unequal pupil dilation. The inequality changes sides. Sometimes the right is smaller, sometimes the left. Sometimes I have some difficulty focusing on my computer screen. I have seen an opthalmologist and had a negative test for Horners syndrome. My optic nerve is not inflamed.
    When seeking advice from Dr. Google, I see unequal pupils can be caused by migraine, but that is the extent of the relevant information that I can find.
    Any ideas?
    Thank you and I hope you have a pain free (or at least manageable) day!
    PS I am considering going to the Jefferson Headache Center, but have had some recent improvement in frequency and severity with the help of my primary care doctor.

  • #62677

    Hi sismo,

    People can experience uneven pupils with migraine, but it’s good to know you’ve been to see the eye doctor and he ruled out other conditions.

    I don’t mean to sound harsh, but “Dr. Google” is not the best approach, self diagnosis can be dangerous – when in doubt always contact the doctor.

    Seeing a reduction in your migraine frequency and severity is great news. The Jefferson Headache Center is a top notch facility with wonderful, compassionate doctors.

    Good luck

  • #92222


    You are not alone in the uneven pupil dilation! I haven’t had a chance to speak with my doctor about it, but my brother noticed it first, and then my coworkers. I haven’t (that I can recall) had any issue’s further with it affecting my eyesight, but it’s entirely possible I haven’t really focused on that.

    Thanks for speaking up, I was hoping it wasn’t a singularity!

    Best wishes!

  • #94875


    U get unequal pupils during migraine attacks. I figure it’s because the left side of my face swells at that time

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