Many families first notice something is different shortly after birth, when one or both legs look unusually short, bowed, or misshapen, or when a newborn isn’t moving a leg as expected; doctors may call this an absence deformity of the leg. At the same time or within the first months, parents or pediatricians may spot the first signs of Absence deformity of leg–cataract syndrome in the eyes, such as a cloudy spot in the pupil, a white reflex in photos, or unusual light sensitivity that suggests an early cataract. Often, the combination of limb differences seen on the newborn exam or earlier on prenatal ultrasound, together with an abnormal red reflex during the first pediatric visits, is how this condition is first noticed.