Fully Dilated pupils - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
My friend's child has fully dilated pupils all the time. Should they be concerned, he does have extra help at school and has difficulty in reading. I do not think he has had his eyes tested.
Answer
Dilated pupils could be due to a variety of causes such as 3rd Cranial nerve palsy, Adie's 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. Argyll Robertson Pupils - Here the pupil does not respond to light but will respond to "focusing" on objects near the eye. Iritis: This may or may not be painful but is always associated with visual impairment. Other causes include previous trauma to the eye and Glaucoma Consult an ophthalmologist and neurologist for the same. Back to All Questions

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