<s>[INST] I am an O.T. working with a 2year old girl dx with VACTERL...can you tell me what the eye problems are with this...I am wondering if she has some visual/ perceptual challenges as she is unable to place single puzzle pieces correctly...are there peripheral field deficits or convergence problems? [/INST] There are no specific described eye problems. Her vision will depend on the integrity of her eye structure. Hence, that should be checked out first. Does she have, for example, a cataract, or a retinal problem? Structure problems lead to function problems. Remember that! Of course, sometimes, especially when it comes to the brain and eye, the structure may be totally normal. Only way to make certain is by further tests and referral to her ophthalmologist. </s>