What Happens to Your Pupils When You’re Stoned?

The pupil, the black aperture at the center of the iris, constantly adjusts its size to regulate the amount of light reaching the retina. This dynamic process is controlled by a biological system that reacts to environmental illumination and internal states. When substances are introduced into the body, they can disrupt this balance, leading to noticeable changes. The consumption of cannabis, specifically delta-9-tetrahydrocannabinol (THC), influences this ocular mechanism.

The Observable Change in Pupil Size

The popular perception of cannabis use often suggests that being “stoned” results in noticeable pupil dilation, a state known as mydriasis. However, the exact and consistent visual change is a subject of scientific debate and is not a universally reliable indicator. Clinical measurements reveal that THC’s primary effect is not necessarily a massive increase in baseline size, but rather dampening the pupillary light reflex—the eye’s ability to constrict quickly in response to bright light. The result is a pupil that reacts more slowly and less forcefully, which can make the pupil appear larger or “sluggish.” Furthermore, some controlled studies have even reported a subtle reduction in pupil diameter, or miosis, following THC administration in non-regular users.

The Science Behind the Shift: THC and the Nervous System

The alteration in pupil size and reactivity stems from THC’s interaction with the body’s Autonomic Nervous System (ANS), which controls involuntary bodily functions. The size of the pupil is governed by two opposing muscle groups within the iris: the sympathetic system drives the radial muscle to dilate the pupil (mydriasis), while the parasympathetic system activates the sphincter muscle to constrict it (miosis). THC exerts its effects by binding to CB1 cannabinoid receptors widely distributed throughout the central nervous system. The resulting change in pupil dynamics is thought to be related to THC acting as a parasympatholytic agent, meaning it interferes with the parasympathetic system’s ability to constrict the pupil. By inhibiting the parasympathetic response, the sympathetic drive becomes relatively more dominant, which can lead to the observed dilation or, at least, a reduced ability to constrict.

Duration and Influencing Factors

The duration of the pupillary effect is closely linked to the concentration of THC in the bloodstream. The most pronounced effects, such as the diminished light reflex, typically occur soon after consumption during the rapid distribution phase of THC to the central nervous system. The method of consumption is a major factor influencing the onset and duration. Inhalation leads to a rapid peak in blood THC and a quicker, shorter-lived ocular effect, while oral ingestion results in a slower onset and a more prolonged duration. Individual metabolic rates, tolerance, and dosage also play a role, with higher concentrations of THC causing greater disruption that can last for several hours.