My 2 weeks old son has coloboma and hardly opens his eyes. Please advise.

Hello,

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It pains me to see your child having a supposedly congenital defect of eyes. However, the picture needs to be more front on to have a clear idea regarding the site of coloboma. Coloboma is essentially defects in different parts of the eyes. There may be a defect in only one structure or maybe found with defects in more than one structure in the same eye. They can be unilateral or bilateral. So defects can be in eyelids, lens, iris, or in retina. The first three defects do not cause much visual problems to be honest but coloboma of the retina can lead to decreased vision especially if it affects the central part or macula. But still, the child does have reasonable functional vision. So to conclude, certainly all is not lost in fact far from it. I hope the child has coloboma only of the anterior segment. But do remember it is not that bad. If you can do send me pictures.