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Dr. Stevens
Dr. Stevens, Ophthalmologist
Category: Eye
Satisfied Customers: 1404
Experience:  Board Certified Ophthalmologist
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My son was born 3 weeks ago, has puffy eyes, more so the lower

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My son was born 3 weeks ago, has puffy eyes, more so the lower lid seems more swollen; otherwise he is AOK.   Dr. cath'ed him for urine test. Came back ok, no protiens, no infection. We are a bit savvy in that we had a medically fragile child who passed away last year (marfan syndrome) and we have one child with down syndrome (very cute); wife and I are not genetic carriers for either. We have five other healthy children. What is the likely cause for this and should we seek out any tests or see a particular specialist?
Submitted: 7 years ago.
Category: Eye
Expert:  Dr. Stevens replied 7 years ago.

hello there

does he simply have some lid swelling or is there more to it? such as redness of the eyes? discharge? cloudy corneas ? tearing? any other issues?

Customer: replied 7 years ago.
no other issues.
Expert:  Dr. Stevens replied 7 years ago.
I would be concerned if he is so swollen that he is unable to open his eyesI would probably hold off on seeing anyone other than his pediatrician at the normal interval. Lid swelling that is mild is not going to be indicative of anything in particular at this point. It should resolve by 4-6 weeks after birth. Regards, XXXXX XXXXX
Customer: replied 7 years ago.

the swelling is so mild and it doesn't bother him at all. it bothers us in that perhaps we are a bit perceptive and a bit paranoid. this child has almond shaped eyes, my wife has almond shaped eyes, well so does my down syndrome daughter, only a bit 'swollen looking' as is natural for such a child. My new son doesn't appear by any measure to be a down syndrome baby (we are not carriers), but his eyes are puffy and we are a bit paranoid that there is another syndrome lurking...I dont mean to be dramatic, but we buried our three year old who had neonatal marfan syndrome (we're not carriers) just last year, and one could say we are a bit on edge. (with our new born child with marfan's, my wife got an ophthamologist and a pulminologist on our team when our 'quarterback doctor' at a major new york hospital advised us that it wasn't necessary. it turned out that the child with marfans had detached lenses at birth and emphasema. so we learned to be proactive with medical care. ok, so what do say now, 3 week old, slightly puffy eyed, otherwise healthy/normal child? thanks


Expert:  Dr. Stevens replied 7 years ago.

I understand your concern, I assume he was tested for Down's at some point, perhaps an amniocentesis?

Customer: replied 7 years ago.


we didn't do an amniocentesis. he isn't low tone or any other signs of downs. is that the only suspected suspicion?

Expert:  Dr. Stevens replied 7 years ago.

Just the almond shape of the eye alone does not suggest Down's. But the baby should probably be tested since you are concerned and will rest easier. Also, I assume the mother's age is advanced since you already have one Down's child. Regards, XXXXX XXXXX

Customer: replied 7 years ago.
some of my other normal children also have almond shaped eyes. not so advanced; mother was 32 when down syndrome baby was born. and puffyness? any other thoughts aside from down testing?
Expert:  Dr. Stevens replied 7 years ago.


Nothing else comes to mind except normal facial swelling after delivery. Regards

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