EYE PICTURE FOR COMMENTS

Guess the diagnosis of this Rare Case Doctors A 28-day-old male child was brought to the ophthalmology outpatient department with a complaint of redness in both eyes for the past 10 days. It was not associated with any discharge from either of the eyes. The patient was the first child of a 22-year-old woman who delivered at the same hospital at term. There was a history of delayed crying at birth. He was born of a nonconsanguinous marriage and the pedigree analysis revealed no other affected member in the family. The developmental milestones were age appropriate except for hearing deficit as he did not turn his head to sound. He was breast feeding with no difficulty in swallowing. The child was 37 cm long with a body weight of 3 kg. The skull was normal except for an open anterior fontanelle. The facial characteristics were bilaterally symmetrical but abnormal. There were multiple facial dysmorphic features including downward-slanting eyes, malar hypoplasia, mandibular hypoplasia (micrognathia), a large fishlike mouth (macrostomia) with a high arched palate . The tongue was retropositioned but the child had no difficulty in feeding and swallowing. The child had malformed and crumpled bilateral pinnae. The right ear had external auditory canal stenosis and left ear had external auditory canal atresia. He also had pectus carinatum and chest indrawing. Auscultation revealed vesicular breath sounds with prolonged expiration. The abdomen was scaphoid, and there was no other abnormality in the limbs, back, and genitals. The ophthalmological examination revealed antimongoloid slant of the palpebral fissures. The child had bilateral lower lid coloboma (lateral one third) with absence of eyelashes in the entire extent of the lower lids . The inferior conjunctiva was congested in both eyes with superficial haze of the inferior cornea (exposure keratopathy) Source- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525627/

A case of achondroplasia.it is a variety of short limb dwarfism.the average hight is around 4 ft. There is midface retrusion and frontal bossing. They may also have kyphoscoliosis.the hand is trident and spatulated, all the fingers are of same length.They are of normal intelligence.

what may be the diagnosis??can anyone help please.

a child came yesterday,there is hearing loss in left ear & some hypopigmentation in the neck also present, Diagnosis???

Female 2kg delivered normally at term without any significant maternal history.mother age is 40 years having 4 children all r normal. This baby is tachypnic and maintaining saturation at minimal oxygen.neonate has micrognathia rounded eyes left microtia grade 2 almost and right sided is grade 3.there is murmur which is pansystolic. Other systemic review is unremarkable  Ur opinion Plz