This strange image is just one of Black & White Photos That Cannot Be Explained"(naw, this ones easy. The kid is painting a face on the older gentleman, who has male pattered balding. His head is tilted toward the camera is all. Not so odd.
Cyclopia is a rare birth defect in which the body is unable to properly separate the two eye sockets so they remain merged as one. The majority of babies suffering this disease are stillborn but if they survive it is not usually for more than a few hours.