When Do Newborns Open Their Eyes? Eye Development Issues - Pediatrics

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Newborn Eyes


Hello Doctor: My nephew was born on June 4th, and he still hasn't opened his eyes.
The hospital doctors mentioned that it could be due to thick eyelids or small eyes.
Is this a condition that can occur in newborns? When do newborns typically open their eyes? If they do not open, what treatment options are available? Thank you!

Xiao Ru, 30~39 year old female. Ask Date: 2011/06/07

Dr. He Shenglong reply Pediatrics


Hello: A newborn typically sleeps about 20 hours out of the 24-hour day, and they may occasionally open their eyes slightly (but not focus on objects).
We may not always observe this.
Around two months of age, they begin to track moving objects with their gaze.
Regarding your concerns about thick eyelids or small eyes, it is advisable to consult a pediatric ophthalmologist for a proper evaluation.
Thank you for your message!

Reply Date: 2011/06/07

More Info


Newborns typically open their eyes shortly after birth, but the exact timing can vary. Most newborns will begin to open their eyes within the first few days of life. However, it is not uncommon for some infants to keep their eyes closed for longer periods, especially during the initial days when they are adjusting to the outside world. In your case, since your nephew was born on June 4th and has not yet opened his eyes, it is understandable to have concerns.

There are several reasons why a newborn may not open their eyes right away. One possibility is that the eyelids are still somewhat swollen or thick, which can happen due to the birthing process. Another reason could be that the baby is still in a deep sleep, which is normal for newborns who spend a significant amount of their time sleeping. Additionally, some infants may have smaller eye openings at birth, which can make it appear as though their eyes are not open.

In general, by the time a baby reaches about two weeks of age, they should be able to open their eyes more consistently. By the age of one to two months, they will begin to focus on objects and track movement. If a newborn does not open their eyes by the time they are two weeks old, it is advisable to consult a pediatric ophthalmologist for a thorough examination. This specialist can assess whether there are any underlying issues that need to be addressed, such as congenital conditions or other developmental concerns.

If the eyelids are indeed too thick or swollen, this is usually a temporary condition that resolves on its own. However, if there are concerns about the baby's eye development or if the eyelids do not open after a reasonable period, further evaluation may be necessary. The ophthalmologist may perform tests to check for any abnormalities in the eyes or eyelids and determine if any treatment is needed.

In summary, while it is common for newborns to keep their eyes closed for a period after birth, it is essential to monitor their development closely. If your nephew does not open his eyes soon, seeking advice from a pediatric ophthalmologist would be the best course of action. They can provide reassurance and guidance on any necessary steps to ensure healthy eye development.

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