Comprehensive eye exam. Your eye doctor will first ask you to describe any ongoing symptoms. Be prepared to let your provider know approximately when you began experiencing symptoms, as well as any recent eye pain, loss of vision or other symptoms. Your eye doctor will then examine your pupils to see how they respond to light. The provider will also check your eyes with different instruments and tools to get a closer look to detect any problems.
Further testing. Your primary care physician may need to order additional tests to diagnose the cause of anisocoria. These include blood studies, lumbar puncture, or a CT or MRI scan of the head.
Anisocoria itself does not require treatment. Instead, your provider will treat the underlying condition that is causing your pupils to be uneven.
Watch your pupils closely for any changes following treatment. You will want to notify your providers immediately if your pupils change in size again.