Couple of eye issues.

[SKBragg]

Okay so I noticed a little while ago that my right pupil is sometimes slightly bigger than the other. Sometimes it isn't, especially if I glance at the light for a second and look back. But if I just walk into the bathroom and look, it usually is just a bit bigger. It's never been drastically bigger, only a little bit. A couple weeks ago I also noticed that my sight got worse and I've gotten a bit of double vision. If I look at something far away (or not so far if I'm tired) I will see a lighter version of PART of it just above it.
I've been having little pains in my temples and above my eyes sometimes, they don't last too long and have actually decreased quite a bit since a couple weeks ago.
I've been reading about quite a bit of things that can cause this, from serious stuff like tumors and aneurysms (which I don't think I have considering I'm 18 and have no medical history, but it still scares me silly) and it can be caused from simple migraines. Also it could be caused from strain of the eyes.
When it started I hadn't been having much sleep. I would stay up thanks to anxiety and days that I'd have to get up early for work I'd only get 4-5 hours of sleep.
So the question is; what do you think this is? Strain? Migraine? Or something more serious? I am still gonna see the eye doctor regardless of the answers I get here, but I'd like some reassurance. Thanks
-Stephen Bragg

[SKBragg]

Went to the eye doctor. Checked everything out (peripherals, back of the eye, vision, etc.) the only thing that concerned him was my pupils. He told me to go home and look at baby pictures. I did that and me and all my family said the same thing. My right pupil looks slightly bigger in the ones that you can see my pupils clearly in. Going back in about two weeks, bringing the pictures with me. I guess I was born this way. It was a heck of a relief though to see that my pupil seemed a bit bigger when I was about 4 or younger. Phew

[SKBragg]

Thanks for replying, it is appreciated. I didn't necissarily mean did my hair cause permanent damage, but when there is a shadow cast over my right eye would it make my pupil slightly bigger? 'Cause it seems like there's a darker shadow over my right eye more than my left, and when I gland at the light they both become the same size. I don't know, I'm just scared of everything I guess.

[Michael J Kutryb, MD]

No, hair hanging in you face cannot cause pupillary abnormalities.  Hopefully it will turn out to be just a natural, harmless, difference in pupil size (physiologic anisocoria.)
You need to understand, that there are certainly other more serious causes, and  you still need a complete exam with a board-certified ophthalmologist since this can be a comlex problem sometimes to work up.  If you want to do more research you can look up "anisocoria."  Many cases end up being due to essentially harmless conditions but I have seen cases over the years due to tumors, strokes, aneurysms, carotid artery dissections, and othe causes. Make sure to get it checked out and I hope everything turns out normal.

MJK MD

[SKBragg]

Also read this!
My glasses are often dirty and seem to have small scratches in both lenses.
I don't know if this can have this significant of an effect on your eyes.
And my hair used to always be over my right eye and sometimes still is. Can the shadow it casted be the cause of my pupil enlargement?