Pupillary dilatation
| Mydriasis | |
|---|---|
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| Pupil dilated for examination by ophthalmologist | |
| Classification and external resources | |
| Specialty | Ophthalmology |
| ICD-10 | H57.0 |
| ICD-9-CM | 379.43 |
| OMIM | 159420 159410 106240 |
| DiseasesDB | 8603 |
| MeSH | D015878 |
Mydriasis (/mᵻˈdraɪ.əsɪs/) is the dilation of the pupil, as opposed to myosis, which is the constriction of the pupil, usually defined as when having a non-physiological cause, but sometimes defined as potentially being a physiological pupillary response. Non-physiological causes of mydriasis include disease, trauma, or the use of drugs. Normally, as part of the pupillary light reflex, the pupil dilates in the dark and constricts in the light to respectively improve vividity at night and to protect the retina from sunlight damage during the day. A mydriatic pupil will remain excessively large even in a bright environment. The excitation of the radial fibres of the iris which increases the pupillary aperture is referred to as a mydriasis. More generally, mydriasis also refers to the natural dilation of pupils, for instance in low light conditions or under sympathetic stimulation.
An informal term for mydriasis is blown pupil, and is used by medical providers. It is usually used to refer to a fixed, unilateral mydriasis, which could be a symptom of raised intracranial pressure.
The opposite, constriction of the pupil, is referred to as miosis. Both mydriasis and miosis can be physiological. Anisocoria is the condition of one pupil being more dilated than the other.
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