In the first days after birth, a newborn's eyes may appear swollen or show minor changes that concern parents. Many findings are transient, but some symptoms require immediate contact with a pediatrician.
Swelling and a small red spot
The pressure of labor can cause temporary swelling of the eyelids or a small red spot on the white of the eye. These often resolve without treatment. The pediatrician will confirm that the appearance is normal.
Discharge and redness
Discharge, severe redness, swollen and sensitive eyelids may be related to a blocked tear duct, irritation, or infection. Neonatal conjunctivitis can be serious and the newborn should be examined immediately — we do not use old or non-prescription drops.
Eye color may change
Many infants are born with eyes that change hue during the first few months, as the amount of pigment in the iris develops. The final shade may take time to stabilize.
Warning signs
- white or gray reflection in the pupil,
- severe redness or pus,
- large or persistent swelling,
- unusual sensitivity to light,
- eyes that do not look alike or do not move normally.
Eye examinations begin at birth and continue at pediatric visits. Premature infants or infants with special risk factors may require specialized examination.
Sources and further information
- CDC — Pink Eye in Newborns
- HealthyChildren — Vision Screenings for Babies & Children
- HealthyChildren — How Your Newborn Looks
This article is for informational purposes only and does not replace an examination or personalized instructions from an ophthalmologist and optician.
