Barry Wasserman

History The patient was born pre-term at 28 weeks, with no known retinopathy of prematurity history or treatment. The patient’s ocular history included high myopia for which she wore glasses. She denied prior medical problems, wasn’t on any medications and had a non-contributory family history. Review of systems was otherwise unremarkable. Examination At presentation, the best corrected visual acuity was 20/25 in the right eye and 20/30 in the left eye.

Presentation Figure 1. (A) Fusion of the lateral 30 percent of the upper and lower lids in the right eye. (B) Three extensile connective tissue bands measuring approximately 1 mm in length and 3 to 4 mm in width located medial, lateral and near the lateral canthus of the left eyelids. An 8-day-old boy presented to Wills Eye’s pediatric ophthalmology clinic with inability to open the left eye and partial ability to open the right eye.

People intuitively understand the importance of good eyesight; we use it almost every moment of our awake hours to navigate our environment and to absorb information. But for school age children in most public and private schools, good vision is one of the key fundamentals to learning — children with vision problems may not absorb information the teacher is writing on a chalkboard or, in our new COVID-19 world, displaying on a screen.