Question

If a newborn has one eye larger than the other and slightly smaller pupils, what could be the issue? How can we assist?

Answer

A newborn with one eye larger than the other and slightly smaller pupils may have oculomotor nerve palsy. This condition may require immediate medical intervention, especially in newborns. Please provide detailed examination results for the baby (please establish a case below). Based on your description, possible causes include trauma, arteriovenous malformation, hemorrhage, stroke, tumor, feverish diseases, and diabetes. Recall if there were any difficult deliveries or injuries at birth. It is recommended that you consult a neurologist for a comprehensive examination to confirm if there is one-sided eyelid drooping and pupil dilation.