Miosis is the medical term for constricted pupils of the eye or pinpoint pupils. Shrinkage of the pupil size is normal in bright light, but when the pupil does not react normally to light levels and stays small, this can be a sign of a medical problem.
Common causes of shrunken pupils include
- aging,
- medication side effects, and
- inflammation within the eye structures.
Miosis is also seen in certain medical conditions, including Horner's syndrome, and may occur with a stroke. Being born without the muscle that controls the pupils or with defects in the pupil muscles is called congenital miosis or microcoria. Depending on the exact cause, miosis can affect one or both pupils.
Other causes of pinpoint pupils (miosis)
- Aging
- Aphakis
- Horner's Syndrome
- Intracranial Bleeding
- Iridocyclitis
- Medication Side Effects
- Microcoria
- Neurosyphilis
- Opioid Addiction
- Poisoning or Toxins
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Causes of Pinpoint Pupils (Miosis)
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Cluster Headaches
Cluster headaches are a type of headache that recurs over a period. Episodes can last one to three times a day during this time, which may last from 2 weeks to 3 months. The three main types of treatments for cluster headaches are, 1) Abortive medications that work to stop the process in the brain that causes migraines and stops the symptoms too. 2) Preventive prescription medications, or 3) surgery which involves blocking the trigeminal nerve.
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Lyme Disease
Lyme disease is a bacterial illness, which is spread by ticks when they bite the skin. Initially the disease affects the skin causing a reddish rash associated with flu-like symptoms. It takes weeks to months after the initial redness of the skin for its effects to spread throughout the body. Lyme disease can be treated with antibiotics. Lyme disease can be prevented by using tick avoidance techniques.
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Multiple Sclerosis (MS)
Multiple sclerosis or MS is an autoimmune disorder in which brain and spinal cord nerve cells become demyelinated. This damage results in symptoms that may include numbness, weakness, vertigo, paralysis, and involuntary muscle contractions. Different forms of MS can follow variable courses from relatively benign to life-threatening. MS is treated with disease-modifying therapies. Some MS symptoms can be treated with medications.
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Stroke
A stroke is an interruption of the blood supply to part of the brain caused by either a blood clot (ischemic) or bleeding (hemorrhagic). Symptoms of a stroke may include weakness, numbness, double vision or vision loss, confusion, vertigo, difficulty speaking, or understanding speech. A physical exam, imaging tests, neurological exam, and blood tests may be used to diagnose a stroke. Treatment may include administration of clot-busting drugs, supportive care, and in some instances, neurosurgery. The risk of stroke can be reduced by controlling high blood pressure, high cholesterol, diabetes, and stopping smoking.
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Uveitis
Uveitis is inflammation of the eye. Symptoms include blurred vision, eye pain, eye redness, photophobia, and floaters. Treatment may involve prescription eyedrops, antibiotics, and wearing dark glasses.
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Vitamin D Deficiency
Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity. Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight.