Dilated Pupil (2024)

The pupils are openings that allow light to enter the eyes. The iris––the colored portion of the eye––controls the size of the pupils. The pupils are constantly changing. They enlarge (dilate) in darker conditions to allow more light to enter the eye, and they get smaller (constrict) in brighter conditions to minimize the amount of light that enters the eye.

Some medications and recreational drugs can cause the pupils to dilate, with the pupils returning to normal when the effect wears off.

Immediate medical care, however, should be obtained for pupils that remain dilated, or pupils that are unequal in size, as this can be a sign of a serious condition affecting the brain, including stroke, internal bleeding, or tumor. Similarly, a head trauma that produces dilated or unequal pupils may indicate a more significant problem that requires immediate medical attention.

Related Eye Condition

Dilated Pupil (2024)

FAQs

What does dilated pupils indicate? ›

Pupils are supposed to dilate under normal circ*mstances due to light changes and emotional variables. Most of the time, dilated pupils will go back to normal size on their own. If pupils dilate suddenly, occur after a traumatic injury or cause headaches and confusion, seek medical attention immediately.

What causes one pupil to be dilated? ›

The pupils of an individual are usually very symmetrical in appearance. In certain instances the pupils may vary in size. Occasionally, differing pupil size is inherited and there is no underlying disorder. Varying pupil size may also be due to infection, tumors, disease or trauma.

What does a blown pupil look like? ›

A blown, or blown out, pupil is characterized by a pupil that is largely dilated and unresponsive to light. When it occurs, a fixed dilated pupil may be present in one or both eyes. Typically, blown pupils are seen in response to brain damage caused by trauma or stroke, though less serious causes are possible.

Do your pupils dilate when you like someone? ›

For starters, oxytocin and dopamine — the “love hormones” — have an effect on pupil size. Your brain gets a boost of these chemicals when you're sexually or romantically attracted to someone. This surge in hormones appears to make your pupils dilate. Dilation may also be related to the biological need to reproduce.

What emotions cause pupils to dilate? ›

The autonomic nervous system triggers various responses during emotions, such as arousal or happiness. The happy hormone, also known as dopamine, is produced when the body expects something good, such as a slice of cake or attention from a loved one. But the hormone can make the pupil widen as a side effect.

Why did I get my pupils dilated? ›

Pupil dilation is performed to purposefully increase the size of the pupils during an eye exam so that the eye doctor can fully examine the health of the optic nerve and retina. The exam is critical to preventing and treating eye conditions that could potentially lead to vision loss.

When should I be worried about one dilated pupil? ›

If one pupil can't adjust to light like it should, you might have trouble seeing clearly, or be sensitive to light in your affected eye. Visit an eye care specialist or go to the emergency room if you notice one of your pupils is suddenly larger than the other.

Can you drive with one pupil dilated? ›

Many people are concerned about whether or not they should drive after their dilation. Some patients are very sensitive to dilation and will have extremely blurry vision following this procedure. If you already know you react this way, you should definitely have someone come along with you to drive you home.

What do your pupils say about you? ›

Our pupils respond to more than just the light. They indicate arousal, interest or mental exhaustion. Pupil dilation is even used by the FBI to detect deception.

Can anxiety cause dilated pupils? ›

For example, during anxiety episodes, your body receives a rush of adrenaline. That adrenaline prepares your body to fight or flee, and one of the ways it does that is by dilating your pupils. Other changes include tightened muscles, an increased heart-rate and increased blood flow to your peripheries.

How to fix dilated pupils? ›

The treatment of dilated pupils depends on the cause. Because pupil changes can also affect your vision, you should get examined by a doctor if you experience them. Your doctor may recommend medication changes, light-sensitive sunglasses or special contact lenses to resolve or treat your mydriasis.

Is a blown pupil an emergency? ›

Should I be seen by a doctor if one pupil suddenly has become dilated? I have not taken any drugs or had any head trauma. Answer: Yes, you should urgently seek medical care if you notice a sudden increase in size of one pupil.

What do large pupils indicate? ›

Dilated pupils (mydriasis ) can happen for many reasons, such as a normal response to light, medication or drug use, eye exams, and medical conditions. Dilated pupils are when the dark center of your eye is widened. This happens naturally in dim setttings. It can also happen after taking certain medications or drugs.

What does it mean when a woman's pupils dilate? ›

In most cases, pupils change size based on the light and dilate, meaning that appear larger, when you're in a darker room. But your pupils may also change size based on injuries, drug use, or even sexual arousal.

Why are my boyfriend's pupils so big? ›

Dilated Pupils Might Be a Sign of Sexual Attraction

Oxytocin, the “love hormone” is one of the causes of dilated pupils. So, if you look into the eyes of your spouse or significant other during “alone time” and his or her eyes dilate, that means he or she finds you attractive.

What does it mean if your pupils stay small? ›

Pinpoint pupils (myosis or miosis) is the condition when your pupils are unusually small. The condition can be caused by many things, like certain medications, deep sleep, or an overdose. You may need to see a doctor. Pupils that are unusually small under normal lighting conditions are called pinpoint pupils.

What causes large pupils in a child? ›

Enlarged or dilated pupils can be caused by a number of factors: medications, drug use, eye and brain injuries, recreational drug use and eye diseases.

Can you drive with dilated eyes? ›

Should You Drive? Your eyesight will be impaired, so some experts say you should play it safe and not get behind the wheel. Others say it depends on how comfortable you feel with the effects of dilation. Many people just experience blurry vision while looking up close, not far away.

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