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My DH and I talked about this as well and decided only if something looked really off would we have someone here take a look. Guatemalan children tend to be quite a bit smaller than US children so we were prepared for that and part of the reason we chose to adopt from Guat was due to the wonderful medical care the children receive. When we got our son's referral he seemed very healthy, weighing in at 7.8lbs, 20 inches long and only 1 week old. They noted that his left pupil was much smaller than his right and that it was a concern but had an opthamologist take a look at it and they couldn't find anything wrong. We accepted the referral w/out hesitation, knowing if something happened later on we could deal with it. Since then Lucas has been to 2 other opthamologists for second and third opinions and the report has remained the same, they can't find anything wrong, however our agency does recommend we have a specialist see him when he's finally home, which of course we'll do. We just visited a few weeks ago and it put any fear I had to rest, Lucas follows things wth both eyes, has no problem reaching for things and grabbing them, etc. His eyes are extremely dark so the difference is very difficult to tell and the only way you can see it is if the sun hits it just right. I believe that the best thing you can do is research the norms for Guatemalan children and if you see something that isn't quite right then pull a specialist in IA in to take a look. GOOD LUCK!
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