| When will
my baby's eyes be their final color? At
birth, the colored part of your baby’s eyes (the iris) will
be gray to blue. They may change as pigment is added in the first
6 months of life. At this point you should have a pretty good idea
of what the final color will be. However, every once in a while
we will see color changes even into the second year of life..
What's a blocked tear duct? A blocked tear
duct (also known as nasolacrimal duct obstruction) occurs when the
eye’s drainage duct is small or blocked with debris. This
does not allow the tears to drain into the nose and you will see
tear welling in your baby’s eyes. Most ducts open up by four
months of age and 95 percent are open by one year.
How well can my newborn
see? A newborn’s vision is about
20/400 at birth compared with what we know as perfect vision at
20/20. This improves over the first years of life until they are
20/20 to 20/30 at three or four years of age. In the first months
of life, the best objects to look at are held at arm’s length,
such as a baby staring into his mother’s face.
Why do my baby's eyes cross? An
infant’s eyes can cross early in life because of poor eye
muscle coordination and the inability to focus. Eyes are usually
gazing straight by three months of age. If they are not, it may
be an indication of a more serious problem. Even after three months,
you may see your baby’s eyes cross when falling asleep or
staring at something close to his or her face.
My newborn baby has blood in her eye. What happened?
Due to the trauma of birth, superficial blood vessels in the outer
covering of the eyeball may burst, forming a crescent of blood next
to the eye’s iris. This is called a conjuctival hemorrhage
it can happen in one or both eyes. Like a bruise these will disappear
after a few weeks.

What is an iris? The
iris is the colored part of the eye. It is actually a muscle that
helps regulate the amount of light that enters the eye.
What is strabismus? Strabismus is
a visual problem where the eyes are misaligned and point in different
directions. This misalignment may be constantly present, or it may
come and go. Sometimes, only one eye may be affected while the other
eye is directed straight ahead.
Strabismus is a common condition among children.
Normal alignment of both eyes during childhood allows the brain
to fuse the two pictures into a single 3-dimensional image. If not
fixed it can cause amblyopia or reduced vision.
What is amblyopia? Amblyopia, sometimes
called a "lazy eye," occurs when one eye does not develop
normal sight during early childhood. When one eye develops good
vision but the other does not, the eye with decreased vision is
called amblyopic. Usually, only one eye is affected by amblyopia.
This common condition should be corrected during
infancy or early childhood to obtain 3-dimensional vision and prevent
permanent vision loss.
What is a cornea? The cornea is
the clear protective covering of the colored part of your eyeball
(iris). The cornea is very sensitive.
What is the eye’s pupil? The
pupil is the dark opening in the iris that determines how much light
is let into the eye. It is actually clear, not black, but appears
dark because there is no light reflecting back out of the eye.
What is the eye’s lens? The
lens is the transparent structure inside the eye that focuses light
rays onto the retina. It’s just like a lens or a telescope
or your glasses, only it lasts longer.
What is the purpose of your eye’s retina?
The retina is the nerve layer that lines the back of the
eye, senses light and creates impulses that travel through the optic
nerve to the brain.
What is a corneal abrasion? A corneal
abrasion is a cut or scratch on the cornea of your eye. The cornea
is the clear protective covering of the colored part of your eyeball
(iris). The cornea is very sensitive and is usually quite painful.
If you think your child has a corneal abrasion, bring your child
to the office. We will examine your child’s eye for any damage
or debris that may be trapped under your eyelid. We may put an orange
dye into the eye to help us see the abrasion. Most small abrasions
heal in one to three days. We may need to examine your child’s
eye the next day.
What is a hordeolum? A hordeolum
is also known as a “stye.” A stye is a small lump that
appears inside or under a child’s eyelid. They result from
the clogging of the oil glands in the eyelids flowed by infection
by bacteria. They hurt but are harmless. Styes can cause redness,
pain, tenderness, eye watering and sensitivity to light. They usually
resolve with warm packing.
What is a stye? A stye is a small
lump that appears inside or under a child’s eyelid. They result
from the clogging of the oil glands in the eyelids. They hurt but
are harmless. Styes can cause redness, pain, tenderness, eye watering
and sensitivity to light. They usually resolve with warm packing.
What is a chalazion? A chalazion
is a small cyst that develops inside or on the eyelids as a result
of the blockage of a certain oil-producing gland called a meibomian
gland. This oil makes up the outer layer of our tears. A chalazion
is usually painless. In most cases, they disappear in a few months.
What is a hyphema? A hyphema is
when blood collects in the anterior chamber of the eye. The anterior
chamber lies below the lens (cornea) of the eye and just before
he colored part of the eye (iris). It is usually caused by injury.
It is always important to have your eyes checked if a hyphema is
noted because if could indicate additional eye injuries.
What is nystagmus? Nystagmus is
an involuntary movement of the eye. It can occur in a vertical or
horizontal direction.
What is ptosis? Ptosis
is drooping eyelids. The upper eyelid falls into a position that
is lower than normal. It can be present at birth or develop later
in life. It usually does not affect vision unless the droopy lid
covers an eye’s pupil. It is usually cased by a weakness in
the eyelid muscle or problem with the lid nerve.
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