A 14‑year‑old male had come for a routine ophthalmological check‑up with difference in pupillary sizes of two eyes (right being the smaller one), noted by parents, since birth. There was no other relevant ophthalmological, systemic, or familial history. Both eyes anterior segment images are attached [Figures 1 and 2]. Best correct visual acuity in both eyes was 20/20, N6. Rest anterior segment examination was unremarkable. Gonioscopic examination revealed open angles with ciliary body band seen, in both eyes with prominent iris processes seen in the right eye. Fundus examination (posterior pole) was normal in both eyes.

A 14‑year‑old male had come for a routine ophthalmological check‑up with difference in pupillary sizes of two eyes (right being the smaller one), noted by parents, since birth. There was no other relevant ophthalmological, systemic, or familial history. Both eyes anterior segment images are atta...