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I have larger than normal pupils (6-7 mm) in one eye. Because of this, my vision is not as sharp as it should be. For diagnostic and informative reasons, my doctor prescribed me low dose oral Pilocarpine 1%, twice a day to see if they would induce miosis (shrink/constrict the pupil). If it does, then he suggested two options: (1) Continue taking Pilocarpine once or twice a day, indefinitely or (2) Explore long term option of suturing the pupil to a smaller size.
I've read that Pilocarpine does not have serious side effects. Low doses are even prescribed by pediatric doctors to children two and younger. My doctor said higher concentration (like 4%) of it induces brow ache but lower doses should not/do not. The first day I started Pilocarpine, I experienced mild brow ache and heavy eyelid. Second day was less. Third day onwards, none. It's been seven days today.
I'm edgy with the thought of suturing the pupil to constrict it. After all, it is a procedure and carries a certain amount of risk, both during and afterwards. For one, pupil dilation will be restricted afterwards.
I would like to ask the community here, if patients have had good or bad experiences with Pilocarpine drops. How long have you been using it and has it improved your overall vision to the point that you are happy using the drops indefinitely?
Also, has anyone had a pupil constriction procedure with sutures? Are there risks associated with it? Are you happy with your visual outcome after the procedure?
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