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Anisocoria (unequal pupils)

The following information provides a guide for GPs on how to manage or make a referral for presentation of Anisocoria (unequal pupils) in children.

  • No serious pathology suspected

    • Long-standing and isolated

     

    Non-urgent e-referral to eye clinic

  • Potential Serious Pathology

    • Recent onset: refer
    • Include relevant details:
    • Medication history: other family members using eyedrops, scopolamine patches, inhalers?
    • Medical/neurological history
    • If possible, pupil size measurement (transparent ruler) look out for associated signs e.g ptosis, anhydrosis, heterochromia, presence of squint

     

    Urgent referral to Acute Eye Clinic

Referral information

Always include:

  • Child’s date of birth
  • Address
  • Child’s social worker details (including Borough), if any
  • Parent/carer contact phone number and email

 

Further assistance

This pathway has been produced by the Moorfields hospital to help clinicians manage the healthcare of Children and Young People. However, if you need to contact a Paediatric clinician, please see below for contact details:

Moorfields Eye Hospital:

Paediatric helpline: 0207 2533411 extn 4569, Mon- Fri 10:00am-13:00pm then 14:00pm-16:00pm

 

Last updated: April 2021