When Does the Film Come Off Baby’s Eyes? A Comprehensive Guide

That “film” you see on your newborn’s eyes is usually a residual coating of amniotic fluid, vernix caseosa (the waxy protective coating), or sometimes even birth medications. It generally clears up within a few hours to a few days after birth.

Understanding the ‘Film’ on Your Newborn’s Eyes

It’s perfectly normal to be concerned about anything related to your newborn’s health, especially when it comes to their vision. Seeing what appears to be a film or coating over your baby’s eyes immediately after birth is a common observation, and thankfully, it’s usually harmless and temporary.

What Causes This “Film”?

The primary culprit behind the “film” is the environment your baby was in for nine months: the womb.

  • Amniotic Fluid: Babies spend their prenatal lives immersed in amniotic fluid. Some residue of this fluid inevitably remains on their bodies, including their eyes, after birth.

  • Vernix Caseosa: This waxy, cheese-like substance protects the baby’s skin in utero. While most of it is absorbed before birth, some might linger, contributing to the filmy appearance.

  • Erythromycin Ointment: Many hospitals routinely administer erythromycin ointment to newborns to prevent bacterial infections like gonococcal conjunctivitis, which can cause blindness. This ointment can temporarily blur the baby’s vision and appear as a film.

  • Other Birth Medications: Depending on the mother’s labor, other medications might be present in the baby’s system and potentially contribute to a slight blurring of vision.

When to Be Concerned

While the “film” is typically benign, there are situations where you should consult a pediatrician:

  • Persistent Cloudiness: If the cloudiness doesn’t resolve within a few days.

  • Redness or Swelling: Any redness, swelling, or excessive discharge from the eyes.

  • Light Sensitivity: Extreme sensitivity to light (photophobia) coupled with other symptoms.

  • Unequal Pupil Size: Noticeable differences in pupil size between the two eyes.

  • Watering Eyes: Constant tearing or excessive watery eyes beyond the normal cleansing process.

Clearing the “Film”

Usually, no specific action is needed to remove the film. It will naturally clear up as the baby blinks and the eyes self-cleanse. Gentle wiping with a clean, damp cotton ball (using separate cotton balls for each eye and wiping from the inner corner outward) can help. Avoid rubbing the eyes.

FAQs: Addressing Your Concerns

Here are some frequently asked questions that provide further insight into the “film” on a baby’s eyes.

FAQ 1: Is the “film” affecting my baby’s vision?

While the “film” can blur the baby’s vision temporarily, it doesn’t typically cause any long-term vision problems. Newborns have limited visual acuity to begin with, focusing best on objects 8-12 inches away. The temporary film simply adds to this natural blurriness.

FAQ 2: How long does erythromycin ointment stay in a baby’s eyes?

Erythromycin ointment can cause blurry vision for up to 24 hours. While it might look like a thick film, it eventually dissolves and is naturally cleared from the baby’s eyes.

FAQ 3: Can I use saline solution to clean my baby’s eyes?

Yes, sterile saline solution can be used gently to clean a baby’s eyes if needed. However, it’s usually unnecessary, as the baby’s eyes are designed to self-cleanse. Always consult with your pediatrician before using any new product on your newborn.

FAQ 4: What is “sticky eye” in newborns?

“Sticky eye” (also known as dacryostenosis or blocked tear duct) is a condition where the tear duct is partially or completely blocked, leading to a buildup of tears and a sticky discharge. It’s different from the temporary film discussed earlier and requires different management.

FAQ 5: How do I tell the difference between a normal “film” and an infection?

A normal “film” is usually clear or slightly milky and disappears within a few days. An infection is typically indicated by redness, swelling, thick yellow or green discharge, and potentially fever. If you suspect an infection, consult your pediatrician immediately.

FAQ 6: Does breastfeeding affect the “film” on my baby’s eyes?

No, breastfeeding has no direct impact on the “film” itself. However, the antibodies transferred through breast milk can help protect the baby from infections, potentially reducing the risk of complications that might cause eye discharge.

FAQ 7: Can a blocked tear duct be mistaken for the initial “film”?

It’s possible. While the initial “film” clears quickly, a blocked tear duct causes persistent watery eyes, sometimes with a white or yellowish discharge. If your baby’s eyes continue to water excessively after the initial few days, consult a doctor to rule out a blocked tear duct.

FAQ 8: Is it safe to use breast milk to clean my baby’s eyes?

While some people advocate using breast milk to treat minor eye irritations, there is limited scientific evidence to support this practice. Furthermore, breast milk is not sterile and could potentially introduce bacteria into the eye. It’s best to stick with sterile saline solution or a clean, damp cloth.

FAQ 9: What are the long-term consequences of untreated eye infections in newborns?

Untreated eye infections in newborns, particularly bacterial infections like gonococcal or chlamydial conjunctivitis, can lead to serious complications, including corneal damage and even blindness. Prompt diagnosis and treatment are crucial.

FAQ 10: How often should I clean my baby’s eyes?

Unless there is noticeable discharge or crusting, cleaning your baby’s eyes daily is usually unnecessary. If you do clean them, do so gently with a clean, damp cotton ball, wiping from the inner corner outwards.

FAQ 11: Should I be concerned if my baby’s eyes are constantly watering?

Occasional watery eyes are normal, as the tear ducts are developing. However, constant or excessive watering, especially if accompanied by redness or discharge, warrants a visit to the pediatrician. It could indicate a blocked tear duct or an infection.

FAQ 12: Can I use baby wipes to clean my baby’s eyes?

No, avoid using baby wipes to clean your baby’s eyes. Many baby wipes contain ingredients that can irritate the delicate skin around the eyes and potentially cause harm. Use only a clean, damp cotton ball or sterile saline solution.

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