The photo is real. That kitten was born with a defect that is an element in the Holoprosencephaly Spectrum. HPE occurs when the corpus callosum of the forebrain fails to develop. There is a wide range of defects within the HPE Spectrum. Some defects are barely noticeable. The above defect is a very severe one. If you do a little research on the internet, you'll find some photos of human babies born with an identical defect. I'm not going to link any here because I don't want anyone to yell at me for posting links to photos that are likely to be very disturbing to some.
Ragdolls are offshoots of Siamese. They all have blue eyes. This kitty would not have the genetic information to produce brown.