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My 2-year-old has always had very large pupils. They look very dilated when she is indoors. When we are outside or in bright lighting they do get smaller, and they are also the same size. Is it normal for some children to have very large pupils? Can this be a sign of any other problems?

Large pupils at this age would be the norm and are to be expected, and it is unlikely to be a sign of any other problem. If the pupils do become smaller in bright light and if they are the same size, this is almost certainly normal for this child.

Answered by: Ivan Schwab, MD Dr. Ivan Schwab

Categories: Children's Eye Health

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Answered: Jan 25, 2013

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