have i got a TBI?

[chan00]

Forgot to add that every morning i wake up my left pupil is very dillated compared to the right and sometimes throughout the day.

[Cocoa_beaver]

Going through divorce court can make anyone feel disconnected and foggy - So can Prozac.

Stay in college. It is better to participate partially; don't withdraw or else even normal social situations can feel like a lot to handle. Keep yourself in the company of supportive people who care about you, at least by phone each day if not in person.

It is okay to feel anxiety when you are going through tough times. I hope your MRI comes clean.  I feel for you. That is a *lot*you are going through - divorce court and a 5-year old boy! I would be falling apart at the seams too.

Morning exercise like jogging or pilates can really really make a big difference in your ability to handle stressors, decrease the worry factor, help you rest better at night which will increase your ability to focus during the day. Just do it, you will walk into that courtroom better equipped.



Did you know that just by looking at something carefully your pupils dilate? So if you think your pupils are dilated, make sure you are giving equal attention to each one  when you are doing the assessment of one compared against the other. If you look twice as hard at one than the other, it will give the appearance that that one is larger, when really what is happening is they are both enlarging and contracting at the same time, only you happen to be paying careful attention when looking at the left one.
To tell  just snap a photo of yourself, (make sure the camera is directly in front of you and that one eye is not getting more light than the other from ambient sources) getting your whole face in the photo. If you can't see a  difference then there is none. If you do see a difference, take the two photos that have the most pronounced difference and show the photo to your doc.

[Dr Vinod]

“Anisocoria” is the term used to describe when one pupil is dilated more than the other. There are several possible causes for anisocoria.
1) Physiologic anisocoria This is seen in 20% of the population and is considered to be benign. When light is shined in the larger pupil, it will respond (constrict)
2) Horner's syndrome  due to a problem with the nerves in the cervical region. It is associated with once constricted pupil, drooping of the eyelid and absence of sweating over the affected side of the face (i.e. the symptoms are all on the side of the face with the smaller pupil
3) Adies Tonic Pupil seen more often in young women, the dilated pupil does not react to light, however will constrict when focusing on an object close to the eye. May be due to eye trauma, infection, herpes zoster (shingles), diabetes or autoimmune diseases however in most cases no etiology can be found.
4) 3rd Cranial nerve palsy Here in addition to dilation of the pupil, there is paralysis of the muscles of ocular movement and the effected eye is fixed in a position down and out
5) Argyll Robertson Pupils  Here the pupil does not respond to light but will respond to focusin on objects near the eye.
6) Iritis/uveitis here there is inflammation of the iris (pigmented part of the eye) as well as disruption of the normal flow of fluids in the eye.  This may or may not be painful but is always associated with visual impairment.

Other causes include previous trauma to the eye and Glaucoma.
Take care and come back to us on further queries.