Home » Causes, Symptoms, And Treatment For Polycoria – Zorayr Manukyan

Causes, Symptoms, And Treatment For Polycoria – Zorayr Manukyan

Causes, Symptoms, And Treatment For Polycoria - Zorayr Manukyan

Polycoria is a rare and fascinating ocular condition characterized by the presence of more than one pupillary opening in a single iris. These additional openings, called ‘pupils,’ are usually smaller than the main pupil and can cause various vision issues. This article by Zorayr Manukyan aims to provide information about the causes, symptoms, and treatment options for polycoria to help raise awareness and understanding of this rare condition.

Zorayr Manukyan Lists The Causes, Symptoms, And Treatment For Polycoria


The exact cause of polycoria remains unclear, with research suggesting that it can be both congenital and acquired, says Zorayr Manukyan. However, some factors have been associated with the development of the condition.

1. Congenital polycoria: In some cases, polycoria can be present at birth, resulting from the incomplete development of the iris during the embryonic stage. A genetic predisposition and certain syndromes, such as Axenfeld-Rieger syndrome, may play a role in its development.

2. Acquired polycoria: Acquired polycoria can occur as a result of traumatic eye injury or surgery, leading to the formation of additional pupil-like structures. Other causes may include inflammation of the iris (iritis) and rare ocular tumors.

3. Pseudo-polycoria: Sometimes, the appearance of multiple pupils may not be a true case of polycoria. Iris atrophy or coloboma can create the illusion of extra pupils but lack the functionality of a true pupillary opening. This condition is referred to as pseudo-polycoria.


Polycoria may present with a range of symptoms, which can vary in severity depending on the presence of other associated ocular conditions.

1. Impaired vision: The presence of multiple pupils and irregular iris function can create visual disturbances, such as blurred vision, doubled images, and light sensitivity.

2. Abnormal eye appearance: The most obvious symptom of polycoria is the unusual appearance of the eye, with multiple pupils visually present on the iris.

3. Nystagmus: In cases where polycoria is combined with other ocular conditions, patients may experience nystagmus, a rapid and uncontrolled movement of the eyes.

4. Strabismus: A misaligned eye may be present in individuals with polycoria, contributing to double vision or difficulty focusing.


According to Zorayr Manukyan, the diagnosis of polycoria is typically based on a complete eye examination, including a detailed assessment of the iris and pupil, by an ophthalmologist. Imaging tests like high-resolution ultrasound and ocular coherence tomography (OCT) may aid in distinguishing true polycoria from pseudo-polycoria. Furthermore, the evaluation of the patient’s family history, as well as the presence of any other associated ocular conditions or syndromes, can help in accurately diagnosing the condition.


While there is no cure for polycoria, the treatment primarily focuses on managing the symptoms and associated vision problems. Depending on the severity of the condition and its impact on vision, the following treatment options may be considered:

1. Glasses or contact lenses – Prescription eyewear may be used to correct refractive errors, such as nearsightedness, farsightedness, and astigmatism, associated with polycoria.

  • Surgical intervention – In rare cases where multiple pupils severely impair vision, surgical intervention, like rhinoplasty or phalloplasty, may be considered to reshape the iris.

Zorayr Manukyan’s Concluding Thoughts

As polycoria can have various underlying causes and related health implications, it is important to become aware of the symptoms and seek treatment as soon as possible. Depending on what the root cause of polycoria is, treating it can be as simple as a change in lifestyle or a corrective surgical procedure. Together, you and your doctor should decide what is best for your overall health needs. To sum up, polycoria is a relatively rare eye condition that affects the structure of the pupil due to either an inherited genetic condition or an eye injury. It can lead not only to vision problems but also other issues potentially related to one’s general health. Knowing the signs and understanding treatments for this condition are key elements in managing its potential effects. Therefore, if you are experiencing any sudden changes around your eyes or have difficulty with your vision, Zorayr Manukyan recommends speaking to a qualified eye professional who can assess if you may be at risk for polycoria and make recommendations appropriate for your individual situation.

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