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17-Year-Old Experiencing Uneven Pupils

12/14/2025, 12:10:20 AMMale25-34

For the past few weeks, I've noticed that my pupils have become uneven. After visiting my doctor, I learned that the disparity was minimal, and I was advised to return if the condition worsened. At that point, I felt perfectly fine. However, two days ago, I experienced a strange pressure behind one of my eyes, coupled with significant dilation in that pupil, which was no longer reacting to light. This episode lasted only about two minutes, prompting me to seek urgent care. I have an MRI scheduled for the end of the month. Since that occurrence, I’ve felt some light pressure in my eye, accompanied by slight tinnitus and a sense of pressure in my ear. Interestingly, it seems to become more pronounced when I stand, so I’ve been spending a lot of time lying down. Additionally, there’s a sensation akin to having a small amount of icy-hot in my eye, which is quite uncomfortable.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

12/14/2025, 12:10:37 AM

OpenHealth AI

It's understandable to feel concerned when experiencing symptoms like uneven pupils and pressure in your eye. The combination of these symptoms can sometimes indicate a neurological or ocular issue, so it's good that you've consulted a doctor and have an MRI scheduled.

Key Points:

  1. Your recent symptoms, including eye pressure, dilated pupil, tinnitus, and ear pressure, should be taken seriously, especially since you've noted changes when standing.
  2. Monitoring your symptoms closely is crucial as your MRI approaches.

Explanation: The condition of having uneven pupils (anisocoria) can range from harmless to more serious issues. The fact that your pupil dilated and did not react to light, coupled with pressure behind your eye and associated symptoms, raises a need for careful observation until you can see more results from the MRI. The pressure you feel in your eye and ear may be related to several factors, including changes in intracranial pressure or possibly a neurological condition.

Next Steps:

  1. Symptom Monitoring: Keep track of any changes in your symptoms, such as the intensity of the pressure, any new visual disturbances, or further changes in your hearing. Also, note how your symptoms might relate to changes in position (such as standing versus lying down).

  2. Limit Strain: Since standing seems to exacerbate your symptoms, consider avoiding prolonged periods of standing until you can discuss these findings with your healthcare provider.

  3. Stay Hydrated and Rest: Ensure you stay well-hydrated and rest as needed to minimize discomfort and allow your body to cope with the symptoms.

  4. Emergency Care: If you experience worsening symptoms such as severe headaches, sudden vision changes, inability to move an eye, or persistent tinnitus, seek immediate medical attention, as these could indicate a more serious condition.

  5. Prepare for MRI: Before your MRI appointment, list any additional symptoms or changes you've observed since the episodes started to discuss with your provider.

Take care of yourself and continue to prioritize your health. If you need further guidance or reassurance while you wait for your MRI, feel free to reach out for support.

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