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My 5 Month Old Baby Was Born With Smallish Eyes,

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Posted on Mon, 14 Dec 2020
Question: My 5 month old baby was born with smallish eyes, and they have remained small. Neither parents or relatives had small eyes. A few people have made comments, and it’s hard for me to not constantly notice, especially in pictures.
doctor
Answered by Dr. Muhammed Aslam TK (1 hour later)
Brief Answer:
Kindly send a picture

Detailed Answer:
Hi dear,
Welcome to Ask A Doctor service
I understand your concern

Most likely this might be a normal variation, which we need not worry about.

Can you send me a good quality picture(eyes open)? - This will help me to have a more clear assessment. Also let me know whether he is able to maintain eye contact and smile at you.

Kindly get back with details, so that I can guide you better
Regards, Dr Aslam
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Muhammed Aslam TK (3 hours later)
She makes eye contact and smiles. She seems to be normal developmentally. She was born with a sacral dimple. She has a high arched palate, as well.

Her eyes may seem like a normal variation, but, both her father and I have very large eyes. We had large eyes as infants, too.
doctor
Answered by Dr. Muhammed Aslam TK (4 hours later)
Brief Answer:
Might need genetic work up

Detailed Answer:
Hi dear,
Thank you for the details given, although a photo is not attached.

It is good to hear that her development and eye contact is normal.

The small size of eyes, although harmless, can not be corrected with medical or surgical treatment anyhow. Let us not to give undue importance to that.

Also, as she is having other additional minor issues like high arched palate and sacral dimple, this might suggests a generalised dysmorphism of genetic origin. In that case it will be fine if you can consult a genticist. This evaluation will be helpful when planing future pregnancies.

I hope this answer will help
Let me know if I can assist you further
Wishing for everything to be fine
Regards, Dr Aslam
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Muhammed Aslam TK (10 hours later)
I have attached a picture under reports. Considering the picture, would you still recommend consulting a geneticist? How could a dysmorphism affect planning future pregnancies?
doctor
Answered by Dr. Muhammed Aslam TK (7 hours later)
Brief Answer:
Seems fine seeing picture

Detailed Answer:
Hello,
Got the picture

Seeing the picture, I could not make a significant abnormality of eye size or other dysmorphic features. So I think a genetic workup is not warranted as of now. You can just discuss your concern when you visit your pediatrician next time, who can also have a direct inspection regarding the same.

Coming to the second part of the question,
If we gets a genetic diagnosis in a baby with dysmorphism, we can predict the chance of recurring the same in future pregnancy, and also do testing for the fetus as early as 8-10 weeks of pregnancy to see whether it is affected and plan accordingly.

I hope this answer will help
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer.
Thank you

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Muhammed Aslam TK

Pediatrician

Practicing since :2012

Answered : 2029 Questions

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My 5 Month Old Baby Was Born With Smallish Eyes,

Brief Answer: Kindly send a picture Detailed Answer: Hi dear, Welcome to Ask A Doctor service I understand your concern Most likely this might be a normal variation, which we need not worry about. Can you send me a good quality picture(eyes open)? - This will help me to have a more clear assessment. Also let me know whether he is able to maintain eye contact and smile at you. Kindly get back with details, so that I can guide you better Regards, Dr Aslam