Do Premature Babies Need Eye Exams? A Concerned Mother's Inquiry - Ophthalmology

More Info

---

As a concerned mother of a premature baby born at 35 weeks and 3 days, it's understandable to have questions about the necessity of eye exams for your child. Premature infants, particularly those born before 32 weeks of gestation or with a low birth weight, are at a higher risk for Retinopathy of Prematurity (ROP), a condition that can lead to vision impairment or blindness if not detected and treated early. However, since your baby was born at 35 weeks and did not require supplemental oxygen, the risk of developing ROP is significantly lower.

The American Academy of Pediatrics recommends that infants born before 28 weeks of gestation or those with a birth weight of less than 1500 grams (approximately 3.3 pounds) undergo routine eye examinations. For infants born between 28 and 30 weeks, the need for screening is determined based on their clinical condition and weight. In your case, since your baby was born at 35 weeks and had a sufficient birth weight, the initial recommendation from the clinic not to perform an eye exam is consistent with guidelines.

However, it is always prudent to follow up with a pediatric ophthalmologist if you have concerns. If you notice any unusual symptoms such as crossed eyes (strabismus), difficulty focusing, or if your baby seems to be sensitive to light, these could be indicators of vision problems that warrant further evaluation. Symptoms of ROP may not be immediately apparent, but they can include abnormal eye movements, difficulty tracking objects, or signs of visual impairment as your child grows.

You mentioned that your baby is now six and a half months old. While early detection is crucial for conditions like ROP, it is never too late to seek an evaluation. Pediatric ophthalmologists can assess your child's vision and eye health, and if any issues are detected, they can recommend appropriate interventions.

In summary, while your baby's risk for ROP is lower due to the gestational age at birth, it is still important to monitor their eye health. If you have any lingering concerns or notice any symptoms that seem unusual, do not hesitate to consult with a pediatric ophthalmologist. Early intervention can make a significant difference in outcomes for children with vision issues. Your vigilance as a mother is key in ensuring your child's health and well-being, and seeking professional advice is always a wise step.