Anisocoria Treatment & Management

Updated: Mar 29, 2021
  • Author: Eric R Eggenberger, DO, MS, FAAN; Chief Editor: Edsel B Ing, MD, MPH, FRCSC, PhD, MA  more...
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Treatment

Medical Care

Medical care depends upon the underlying pathophysiology.

If the patient has associated accommodation paresis, reading glasses or bifocals may be required.

If the patient has mydriasis and glare, dilute pilocarpine, sunglasses, or FL-41 lenses may be beneficial.

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Surgical Care

Surgical care depends upon the specific etiology.

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Consultations

Consultations depend upon the underlying cause. Compressive third nerve palsies and aneurysms may require neurosurgical intervention, whereas ophthalmologists may be helpful in other causes of anisocoria.

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Further Inpatient Care

Follow-up, treatment, prognosis, and educational issues depend upon the underlying diagnosis.

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