Eye Discharge in Newborns: When to Seek Medical Help

Newborns have eye discharge?

My friend's child is only 17 days old, but there is often a lot of discharge from the right eye.
Could this indicate an eye problem? Should I take the child to a pediatrician for an examination, or should I take them to an ophthalmologist?

Niming, 40~49 year old female. Ask Date: 2016/10/22

Dr. Xiao Kaiwen reply Pediatrics

If a newborn has persistent eye discharge that does not clear up quickly, or if there is redness in the sclera (which may indicate conjunctivitis), it is most likely due to the infant's nasolacrimal duct not functioning properly.
Sometimes, the duct may be obstructed, but it will gradually improve over time.
You can gently massage the area at the inner corner of the eye and the bridge of the nose with your fingertip to help facilitate drainage.
Treatment should only be considered if the obstruction persists beyond the age of one year.

Reply Date: 2016/10/22

More Info

When it comes to eye discharge in newborns, it is essential to understand that this condition can arise from various causes, and the appropriate response depends on the specific symptoms and circumstances. In your friend's case, the baby is only 17 days old and is experiencing significant eye discharge from the right eye. This situation warrants careful consideration.

Firstly, it's important to note that eye discharge in newborns can be relatively common and may not always indicate a serious problem. The discharge can be due to several factors, including:
1. Blocked Tear Ducts: One of the most common causes of eye discharge in newborns is a blocked tear duct. This condition occurs when the tear duct, which drains tears from the eye into the nose, is not fully open. As a result, tears can accumulate and lead to discharge. This type of discharge is often sticky and may be accompanied by crusting around the eye.

2. Conjunctivitis: Another potential cause of eye discharge is conjunctivitis, which is an inflammation of the conjunctiva (the membrane covering the white part of the eye and the inside of the eyelids). This can be caused by bacteria, viruses, or allergens. Bacterial conjunctivitis often results in thick, yellow or green discharge, while viral conjunctivitis may produce a watery discharge.

3. Infections: Infections can also lead to eye discharge. In newborns, this could be due to a variety of pathogens, and it may require medical intervention.

4. Other Causes: Other less common causes of eye discharge can include foreign bodies in the eye, allergies, or even irritants.

Given that the baby is so young, it is advisable to err on the side of caution. Here are some steps your friend can take:
- Observation: If the discharge is minimal and not accompanied by other symptoms such as redness, swelling, or excessive tearing, your friend might choose to monitor the situation for a short period. However, if the discharge persists or worsens, seeking medical advice is crucial.

- Consulting a Pediatrician: It is generally a good idea to start with a visit to a pediatrician. They can perform a thorough examination and determine whether the discharge is due to a blocked tear duct, an infection, or another issue. The pediatrician can also provide guidance on whether a referral to an ophthalmologist (eye specialist) is necessary.

- Signs to Watch For: Your friend should be vigilant for any additional symptoms that may indicate a more serious condition. These include:
- Redness of the eye or eyelid
- Swelling around the eye
- Excessive tearing
- Sensitivity to light
- If the baby appears to be in pain or discomfort
- Treatment Options: If the pediatrician determines that the discharge is due to a blocked tear duct, they may recommend gentle massage techniques to help open the duct. In cases of conjunctivitis, appropriate antibiotic or antiviral treatments may be prescribed.

In conclusion, while eye discharge in newborns can be common and often benign, it is essential to seek medical advice, especially in a newborn as young as 17 days. A pediatrician can provide the best initial assessment and determine the need for further evaluation by an eye specialist. Prompt attention to any concerning symptoms can help ensure the health and well-being of the baby.

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