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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Cause For My 12 Weeks Old Daughter To Have Left Eye Smaller Than The Right Eye With No Symptoms Of Infection ?

My daughter is 12 weeks old. She was born at 36 weeks via cesarean due to iugr/ sga. She was 4.2lbs at birth. Spent a week in the NICU. I have noticed last week that her left eye is smaller than her right eye. Pupils are symmetrical. Has no s/s of an infection . No redness or drainage. It does not seem to bother her. What could be some possible causes of this?
Thu, 12 Apr 2012
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Ophthalmologist 's  Response
Dear Friend,

It is possible that small size of one eye of your child can be due to lid muscle weakness. That she might have a ptosis in her left eye. only risk with ptosis is that she might have vision problems if her pupils are not visible on a general observation. If her left eye pupil area is visible clearly and through out the day she will not have any vision problem. In case you find that the pupils are covered by the droopy lid its better to consult an ophthalmologist. Ptosis can be corrected by surgery and decision of when to operate lies with the managing consultant (youger age if vision is getting affected or later if vision is clear). Consult an ophthalmologist to confirm the diagnosis. Take care
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What Could Be The Cause For My 12 Weeks Old Daughter To Have Left Eye Smaller Than The Right Eye With No Symptoms Of Infection ?

Dear Friend, It is possible that small size of one eye of your child can be due to lid muscle weakness. That she might have a ptosis in her left eye. only risk with ptosis is that she might have vision problems if her pupils are not visible on a general observation. If her left eye pupil area is visible clearly and through out the day she will not have any vision problem. In case you find that the pupils are covered by the droopy lid its better to consult an ophthalmologist. Ptosis can be corrected by surgery and decision of when to operate lies with the managing consultant (youger age if vision is getting affected or later if vision is clear). Consult an ophthalmologist to confirm the diagnosis. Take care