Saturday, May 14, 2011

Physiologic Anisocoria

So Stella took a tumble during our road trip. Naturally there were tears, but as soon as I picked her up she seemed fine. I asked my mom (retired doc) what I should look for since we did not see the tumble; and one thing was unequal pupils.

I thought they looked a bit different but it was slight and my mother did not see anything.

Several days later, I noticed it again while with my sister- I asked her if she noticed anything and she did.

We called the nurse's hotline and after 10 minutes of questions (all of which the answer was no-meaning no other negative signs were apparent) the nurse instructed us to call 911 or go straight to the emergency room.

WHAT???!!!!!

It was 11PM.
I was in Minnesota, hundreds of miles away from our doctor and my husband!
And to no surprise, I was freaking out.

Now, we later deduced that the nurse had to suggest this just to make sure and due to the fact that unequal pupils can be a sign of bleeding in the brain.

My sister came with me and brought both the twins. We arrived in the emergency room at the Children's Hospital in St. Paul around 11:30, waited for about 15 minutes and then went through triage. Fortunately, the first thing the nurse said was that her son had different sized pupils when he was a baby and it was nothing. First sign of relief.

When we were waiting for the doctor after she was admitted, we were sitting in an exam room in the ER (somewhat dimly lit) and I look into my sister's eyes... her pupils looked different as well! She had never noticed, nor had I in her thirty years!

The doc came and examined Stella's eyes, head, and carried out some developmental tests and everything looked great.

As it turns out she has Physiologic Anisocoria, which although it sounds scary, occurs in 10% of the population making it somewhat common and just means unequal pupil sizes. It is a lot more noticeable in small children and especially those with light irises (i.e.our little blue-eyed girl).

Thank goodness all is well, it was quite the scare however!

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