{"id":19827,"date":"2021-10-28T07:40:25","date_gmt":"2021-10-28T07:40:25","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=19827"},"modified":"2021-10-28T07:40:25","modified_gmt":"2021-10-28T07:40:25","slug":"why-do-my-pupils-look-big","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/conditions-that-affect-the-pupil\/why-do-my-pupils-look-big\/","title":{"rendered":"Why Do My Pupils Look Big?"},"content":{"rendered":"<h2><b>If you have noticed one or both pupils remain large, it\u2019s an eye condition known as mydriasis.<\/b><\/h2>\n<p>The dark circles in your eyes are called <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/ocular-anatomy-the-front-of-the-eye\/\">pupils<\/a>.<\/p>\n<p>They collect light and direct it to the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/eye-anatomy-the-back-of-the-eye\/\">retina<\/a>, where it is transformed into images.<\/p>\n<p>In most cases, the pupils dilate or widen in response to low light so that more light can be collected.<\/p>\n<h2><b>What is mydriasis?<\/b><\/h2>\n<p>Pupils can dilate for a variety of reasons that are unrelated to light levels.<\/p>\n<p>When pupils remain enlarged even in bright surroundings, it is a condition known as mydriasis.<\/p>\n<h2><b>What causes mydriasis?<\/b><\/h2>\n<p>Mydriasis can occur for a variety of reasons, including:<\/p>\n<h2><b>Anticholinergics<\/b><\/h2>\n<p>Anticholinergics treat a variety of physical ailments that affect how muscles relax and contract.<\/p>\n<p>Your pupils will dilate as a result of using anticholinergics, and you may experience blurry vision and dizziness if your mydriasis is caused by prescription medicine.<\/p>\n<p>When you stop taking these medications, your pupils should return to normal.<\/p>\n<h2><b>Injury to the eye<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-emergencies\/6-most-frequent-eye-injuries\/\">Blunt force trauma to the eye<\/a> can damage the nerves that regulate the pupils or the iris, the pigmented area of the eye.<\/p>\n<p>This can affect the pupils&#8217; response to light.<\/p>\n<p>Depending on the origin of your injury, you may have additional symptoms.<\/p>\n<h2><b>Traumatic brain injury<\/b><\/h2>\n<p>Increased intracranial pressure caused by any type of <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/vision-and-brain-injuries\/traumatic-brain-injury-and-neuro-optometry\/\">brain injury<\/a> from a trauma, tumor, or stroke can affect pupil size, typically in one eye.<\/p>\n<p>A &#8216;blown pupil&#8217; is a term used to describe mydriasis produced by a traumatic brain injury.<\/p>\n<h2><b>Cranial nerve neuropathy<\/b><\/h2>\n<p>Cranial nerve neuropathy is a condition in which the nerves that supply the eyes gradually deteriorate.<\/p>\n<p>Damage to the oculomotor nerve, which controls pupil constriction and dilation, could result in mydriasis. One or both eyes may be affected by cranial nerve neuropathy.<\/p>\n<p>If you have cranial nerve neuropathy, you may notice other signs and symptoms in your eyes, such as impaired vision.<\/p>\n<p><strong>SEE RELATED: <\/strong><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/can-corticosteroids-affect-vision\/\">Can Steroids Affect Vision?<\/a><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment with an eye doctor near you<\/a>, if you notice that your eyes are dilated, even in bright light.<\/b><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Increased oxytocin<\/b><\/h2>\n<p>Increased oxytocin levels might cause a brief mild to moderate dilatation of the pupils.<\/p>\n<p>Exercise and intimate physical or social interactions with other people release oxytocin. It also has an important role to perform during birthing. Oxytocin is primarily responsible for psychological changes including heightened emotional attachment and sexual desire.<\/p>\n<h2><b>Drugs<\/b><\/h2>\n<p>Mydriasis can be caused by substances like cocaine, ecstasy, hallucinogens, and crystal methamphetamine.<\/p>\n<p>Serotonin receptors in the brain are affected by hallucinogenic substances like LSD, which can cause pupil dilation.<\/p>\n<p>Stimulants like cocaine raise serotonin levels and have similar effects on the eyes.<\/p>\n<h2><b>Benign Episodic Unilateral Mydriasis<\/b><\/h2>\n<p>BEUM (benign episodic unilateral mydriasis) is a transitory condition in which only one eye&#8217;s pupil dilates.<\/p>\n<p>During these episodes, people with this condition frequently report moderate headaches, eye pain, light sensitivity, and impaired vision.<\/p>\n<p>BEUM can arise during a migraine headache in some situations.<\/p>\n<h2><b>Mydriatics<\/b><\/h2>\n<p>To assess your eye health, doctors utilize mydriatics to check the retina and other structures deep within the eye.<\/p>\n<p>People with <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/17768-2\/\">high blood pressure<\/a> or <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-diabetes-and-the-eyes\/6-ways-diabetes-affects-your-eyes\/\">diabetes<\/a> are frequently advised to have a yearly dilated eye exam. Mydriatics are also used by doctors to treat painful ciliary muscle spasms.<\/p>\n<p>Over the course of four to eight hours, the dilatation caused by mydriatics gradually fades. However, it may persist up to 24 hours in certain cases. You&#8217;ll be sensitive to strong light while your eyes are dilated.<\/p>\n<h2><b>How to manage mydriasis?<\/b><\/h2>\n<p>To manage the symptoms of dilated eyes:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Avoid direct sunlight<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Don\u2019t drive, especially during the day<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Avoid reading text too close to your eyes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Use <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-optical-lenses\/sunglasses\/\">sunglasses<\/a> prescribed by an eye doctor in bright environments<\/li>\n<\/ul>\n<h2><b>How to treat mydriasis?<\/b><\/h2>\n<p>The treatment for mydriasis is determined by the underlying cause.<\/p>\n<p>During treatment, your doctor may suggest wearing opaque contact lenses or light-sensitive sunglasses. In some circumstances, surgery may be required. It&#8217;s critical to discover what&#8217;s causing your mydriasis so you can get correct treatment.<\/p>\n<p>Whatever the cause, it\u2019s important to see your eye doctor if your dilated pupils persist.<\/p>\n<p><strong>LEARN MORE: \u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/\">Guide to Eye Health<\/a>\u00a0<\/strong><\/p>\n<p><b>If you notice an enlargement of one or both pupils,<a href=\"https:\/\/www.optometrists.org\/practice-search\/\"> schedule an appointment with an eye doctor<\/a> to determine what could be the cause.<\/b><\/p>\n<p><i>When pupils remain enlarged even in bright surroundings, it is a condition known as mydriasis and should be examined by an eye doctor.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you have noticed one or both pupils remain large, it\u2019s an eye condition known as mydriasis. The dark circles in your eyes are called<\/p>\n","protected":false},"author":1206,"featured_media":19828,"parent":19821,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-19827","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why Do My Pupils Look Big? - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/conditions-that-affect-the-pupil\/why-do-my-pupils-look-big\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why Do My Pupils Look Big? - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"If you have noticed one or both pupils remain large, it\u2019s an eye condition known as mydriasis. 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