How does the doctor determine whether my child’s anisocoria is due to an underlying medical problem?
Your doctor will ask questions, which may include when the anisocoria was first noted, whether you believe it is more noticeable in bright or dim illumination, and whether or not there was a preceding event that could be related, such as the birth process, neck surgery, or recent trauma. The doctor will examine the child. The examination may include evaluating the eyelid position, how the eyes move, the health of the front and/or back portions of the eyes. The doctor will evaluate how the size of the pupils and how they react to bright and dim lighting. Based on the evaluation, the doctor may wish to perform tests with eyedrops or perform laboratory or radiologic testing.
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