Abstract
A four-year-old female presented to the department of ophthalmology with history (given by the mother) of noticing drooping of the left upper lid and small eye since birth. On examination, the patient was found to have mild ptosis, miosis, and mild iris hypochromia of the left eye. A diagnosis of Horner's syndrome was made. Retrospective evaluation revealed that the patient was diagnosed as a case of tracheoesophageal fistula (TEF) and esophageal atresia on first day of life and underwent surgical intervention on the second day of life. We present this case as that of diagnostic challenge with respect to the etiology of Horner's syndrome.
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