Is This the New Norm?: Large Pupils and Visual Performance - Takeaways - MDSpire
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Is This the New Norm?: Large Pupils and Visual Performance

Explore how pupil size impacts night vision and discover therapeutic strategies for improvement, as presented in a compelling clinical case.

  • By

  • Mile Brujic, OD, FAAO

  • DAVID L. KADING, OD, FAAO

  • January 1, 2026

  • 5 min

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  • 1

    Pupil size significantly affects visual quality, particularly under low-light conditions, leading to issues like decreased contrast sensitivity.

  • 2

    A clinical case demonstrated that testing visual acuity with light exposure can reveal pupil-related vision problems.

  • 3

    Pupil constriction can enhance depth of focus, benefiting presbyopic patients through pharmacologic treatments like pilocarpine.

  • 4

    Brimonidine eye drops effectively reduce pupil dilation in low light, improving night vision for patients with visual complaints.

  • 5

    Dynamic pupil management strategies are evolving, offering tailored interventions for patients experiencing poor night vision.

Original Source(s)

Is This the New Norm?: Large Pupils and Visual Performance

  • by Mile Brujic, OD, FAAO, DAVID L. KADING, OD, FAAO

  • January 1, 2026

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