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Size of Pupils and clinical significance

Normal size of pupil varies from 3 to 5 mm. 
Pupils < 3mm size in average condition of illumination are called miotic and pupils > 5 mm are called mydriatic. Pin point pupil is said to be present when the pupillary size is less than or equal to 1 mm.
  • Normal—3-5 mm 
  • Mydriasis > 6 mm
  • Miosis < 2 mm
  • Pin point pupil < I mm
  • A difference of 0.5 mm between the two pupils is abnormal