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Uneven pupils

I'm a 21 year old male, I'm sure I posted on here when this started. I have known this to be going on for over a year, maybe nearly two. At the start I had a eye test at aGP, then a (optometrist), and then finally a CT Scan and a few other test in-between.Everything was normal, also passed the RAPD test.

The issue is, for example if I go to sleep at 2am and wake up at 6am, look in the mirror, one pupil will be a mm or 2 bigger than the other, both respond to light and visually see everything, no blur whatsoever. After not even 30 minutes I can't even tell which one is bigger. I've also noticed this can occur if I wake up at 1pm or so in the afternoon, it seems to be in that period of ''brain fog and body is still waking itself up''. Sometimes I don't notice it. I've caught my pupil looking slightly bigger in some lighting situations after being awake for hours, but that could've been a mistake. The reason I haven't said WHICH pupil is bigger is because it switches, sometimes the right one, sometimes the left one. It was brought to my attention, perhaps it isn't the bigger one that's the problem, it's the smaller one ''being slow''. Anisocoria had been brought up multiple times but my girlfriend has that, I can basically tell the difference in size anytime, anywhere. Mine however I can only tell in this specific circumstance. I will say this, it's not dependant on which side I sleep on, for example sleeping on my right side won't cause it to be my right pupil more dilated.

What does that sound like to you, it's nearly been two years? Am I just hyper-aware and noticed this and most people have it or something but none picked up on it in that brief period of waking?  
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Avatar universal
Thankyou, so you're saying - it's ''always there'', but after sleeping (being in a dark room for example), it's only highlighting it so I notice it more, exaggerating  it? Is it true sleep deprivation could make my pupils do this aswell, it doesn't seem to occur if I sleep well, even if I've slept longer.
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1 Comments
If you want to spend the rest of your life worrying about this its okay with me.  What you describe is something new a few people have.  Move on.
177275 tn?1511755244
10% of the population have unequal pupils without eye disease (Physiological aneisometrophia).   Also if a person is angry, has been in bright light or dark for a long time the pupils may be more unequal in size.  If I get upset or mad one of my pupils dilates more than the other. Given 2 years, many exams and tests and nothing dire has developed I would put it down as your unique physiology and move on.  If something new or different develops return to a ophthalmologist.
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177275 tn?1511755244
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