I first noticed uneven pupils somewhere around feb.-march of 2011. I was having weird headaches due to a new job and very stressed anxious at this time. I would have dizzy spells, numbness in face and other weird shaking sensations. The following tests were done: MRI, one with and one without contrast, MRA of the head and neck. Sleep EEG. Ultrasound of the arteries in the neck. CT scan of the chest with contrast. 2-3 CT scans of the head no contrast. All came back fine except for a 3mm pineal cyst which I have been told and read is a begnin cyst and "normal". The right eye is the one with the bigger pupil and the left eye with the smaller one. This is always the vase and not vice versa. Sometime the pupils are completely even but usually slightly different at the least. Sometimes the are rather noticeable uneven and other times very slightly and sometimes even. I also notice worse vision/blurred vision out of the right eye where the bigger pupil is, even when they are even. I saw an opthomolgist who found nothing wrong. I noticed the blurriness is fixed with pinhole and even when he dilated my pupils the anisocoria was still slightly present. I'm just curious if there could have been something missed or if its just normal seeing as sometimes they are even. I do take albuterol for asthma which I heard can cause uneven pupils but I've taken it since I was young and never had it happen then. Any ideas or suggestions would be helpful.

Yes the numbness was associated with the anxiety I believe. I think I subconsciously thought it was because of a tumor or anyuersm and I was going to drop dead. I got a nose bleed out of nowhere and I got so scared my whole face went numb. I am on lexapro for the anxiety which has helped but when I physically see things like the uneven pupils it makes me rather anxious. The optho told me that since the blurred vision goes away when I look through a pinhole its due to needing a stronger/different prescription. Its just very frustrating when no one can give me a definite answer and I always see online about uneven pupils and tumors and stuff but I've had like every test done. Its good to know I'm not alone though, because when I look in the mirror and see the unevenness it just makes me irritated and anxious.

Yes the numbness was associated with the anxiety I believe. I think I subconsciously thought it was because of a tumor or anyuersm and I was going to drop dead. I got a nose bleed out of nowhere and I got so scared my whole face went numb. I am on lexapro for the anxiety which has helped but when I physically see things like the uneven pupils it makes me rather anxious. The optho told me that since the blurred vision goes away when I look through a pinhole its due to needing a stronger/different prescription. Its just very frustrating when no one can give me a definite answer and I always see online about uneven pupils and tumors and stuff but I've had like every test done. Its good to know I'm not alone though, because when I look in the mirror and see the unevenness it just makes me irritated and anxious.