Vision Development in 2-Month-Old Infants: Screen Time Concerns - Pediatrics

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Vision development in 2-month-old infants and their ability to see video?


Hello, Doctor.
I would like to ask two questions regarding infant vision:
1) What is the typical progression of visual development in newborns? How far can a two-month-old see? I have found varying data online and am unclear about the correct understanding.
2) Can a two-month-old newborn see a smartphone screen during video calls? We have been video chatting with family in a dimly lit room, and considering blue light and vision issues, I have ensured the baby is not too close to the phone, maintaining a distance of at least 15 centimeters, and most of the time at least 20-30 centimeters.
Initially, the baby seemed curious and looked at the screen, but then appeared to shrink back closer to me while holding onto my clothing.
However, the baby did not turn away from the screen; they just stopped looking.
I'm unsure if this is due to unfamiliarity with the images and sounds of family or discomfort from the screen's light.
Upon further reflection, I feel it may not be appropriate, and I am concerned that video chatting could harm the baby's vision.
Therefore, I would like to ask the doctor for the correct understanding and whether there could be long-term effects.
(I found information online stating that the American Academy of Pediatrics says screen time for children is not an issue, but I am uncertain about its accuracy and credibility: https://theinitium.com/article/20161024-dailynews-pediatricians-screen-kids/) Thank you, Doctor, for your answers.

Xinshou Ma, 20~29 year old female. Ask Date: 2021/06/03

Dr. Xiao Kaiwen reply Pediatrics


A two-month-old infant's vision should be limited to 20 to 30 centimeters and is primarily black and white.
At this age, infants are not suitable for using electronic devices, as they cannot see beyond the 20-30 centimeter range.
Additionally, being too close to screens raises concerns about potential exposure to harmful radiation.

Reply Date: 2021/06/03

More Info


When it comes to the vision development of infants, particularly at the age of two months, there are several important points to consider regarding their visual capabilities and the potential impact of screen time.

1. Vision Development at Two Months: At two months old, an infant's vision is still in the early stages of development. Typically, they can see objects that are about 20 to 30 centimeters away, which is roughly the distance from their face to a caregiver's face when being held. Their vision is primarily black and white, as color perception develops later. Infants at this age are still learning to focus and track moving objects. Therefore, they do not have the ability to see far distances clearly, and their visual acuity is not fully developed.

2. Screen Time Concerns: Regarding the question of whether a two-month-old can watch a smartphone screen, it is generally advised that infants this young should not be exposed to screens. The American Academy of Pediatrics (AAP) recommends that children under 18 months avoid screen time, except for video chatting. This is because excessive screen exposure can interfere with important developmental milestones, including social interaction and physical activity.
In your case, you mentioned that you maintained a distance of at least 15-30 centimeters from the screen, which is good practice. However, even at this distance, the bright light from screens and the nature of the content may not be suitable for such young infants. They may not fully understand or engage with the images on the screen, and the bright light could potentially cause discomfort. It's also important to note that infants are more sensitive to blue light emitted from screens, which can disrupt sleep patterns and potentially affect their developing vision.

3. Long-term Effects: While occasional exposure to screens, such as during video calls with family, is unlikely to cause immediate harm, consistent and prolonged exposure can lead to issues. Research suggests that early and excessive screen time may contribute to problems such as delayed language development, reduced attention spans, and even an increased risk of developing myopia (nearsightedness) later in life.
In conclusion, while it is understandable to want to connect with family through video calls, it is crucial to limit screen time for infants, especially those under two years old. Instead, focus on interactive play, reading, and face-to-face interactions, which are far more beneficial for their cognitive and visual development. If you have concerns about your child's vision or development, it is always best to consult with a pediatrician or a pediatric ophthalmologist for tailored advice and recommendations.

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