Thanks to all who gave comments on the picture "Isay, Pinpin and
Giselle". I gave the URL of the display to a friend in the US who is
also a physician, and she made an interesting observation:
"This email is directed to your email box only as you might
consider this an offensive or an unnecessary observation or comment, in
which case, forgive me. I say this only as a concerned mother and
friend as I have placed my medical license on medical disability that
restricts me from medical practice. What I say here, you cannot trust
to be a medical diagnosis or even an opinion; it is merely an
observation of a photograph, not identical to a physical examination in
person.
"But in enjoying your photograph of Pinpin with her
not-girlfriends with such clarity online, and in what the children
evoked for me, gloating over Pinpin's eyes, I couldn't help but notice
his left eye is slightly turned inwards while his right eye is looking
forward, a bit of asynchrony in the expected standard movement of both
eyes. Is this caused by your camera angle? or is this something that
he does intermittently or something that is almost always there or
there all the time? Have you brought this already to the attention of
Pinpin's pediatrician or an ophthalmologist? Let me know if this is
something you do not want to discuss or something you have already
researched, or better, just a camera angle anomaly."
My wife and I examined Pinpin's eyes as a result of the communication,
and confirmed the finding. But I waited several days to tell this list
to see if the anomaly is obvious. Apparently, it isn't but it needs
correction and can be corrected. A follow-up email from the doctor:
"This is named 'strabismus,' when it occurs, which is either exotropia,
when the eye is deviated outward, or esotropia, when deviation
is inward. This happens in adults as well for varied reasons that
requires immediate evaluation if the onset is sudden. Much more so in
children, if detected early in infancy and childhood, rapid evaluation
must be pursued (below the level of emergent) because of its impact on
the visual development and of the visual structures involved in seeing
from the eyes to the visual centers in the brain."
Elson
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