Pupillary Changes

In the early stages of alcoholic intoxication the pupils are said to dilate, often becoming pinpoint as the level of intoxication advances, particularly when the state of coma is reached (154). However, some commentators report the pupils as being normal-sized in alcohol intoxication (155), with current advice favoring the view that pupil size may be normal or dilated (156).

Alcohol may slow the pupillary response to light, such an effect being one of the more reliable eye signs of intoxication, albeit a difficult one to detect clinically (151,157).

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