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There are actually quite a few causes, some of which are controllable, others that are not. The pupil is an opening that permits light to penetrate your eyes. When you have big pupils this means that your eyes are dilated, allowing more light to enter.You can actually test this theory by standing in front of a mirror in a dark room.here are actually quite a few causes, some of which are controllable, others that are not. The pupil is an opening that permits light to penetrate your eyes. When you have big pupils this means that your eyes are dilated, allowing more light to enter.
Enlarged (dilated) pupils and Small (constricted) pupils. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms enlarged (dilated) pupils and small (constricted) pupils including Medication reaction or side-effect, Narcotic abuse, and Cocaine abuse. There are 8 conditions associated with enlarged (dilated) pupils and small (constricted) pupils. The links below will provide you with more detailed information on these medical conditions from the WebMD Symptom Checker and help provide a better understanding of causes and treatment of these related conditions.