Why Are My Newborn’s Eyes Crossing?

There’s nothing like gazing at your newborn’s little face. There’s so much curiosity in their eyes. But should you be concerned if those beautiful eyes cross, wander or move in different directions? Could it be a sign that something’s wrong with your baby’s eyes or vision?

Pediatrician Rajyalakshmi Rambhatla, MD, explains why many newborns appear to have crossed eyes — and when to be concerned about it.

Why are my baby’s eyes crossing?

It’s not unusual for a newborn’s eyes to move out of sync from time to time. You might see their eyes cross, move in different directions or float to the sides for a few seconds. There are a couple of reasons newborns have these unusual eye movements — and they’re not likely to be related to long-term vision problems.

Your baby’s vision is brand new

Before your baby entered the world, they spent all their time in darkness. They didn’t need to use their vision in the uterus, so their eyes didn’t get practice moving and fixating on objects. Like any beginner with a new skill, your newborn’s eyes need time to get the hang of things.

“A baby’s vision isn’t fully developed when they’re born,” explains Dr. Rambhatla. “Their eyes are learning to focus and the muscles that move their eyes aren’t fully coordinated. These abilities develop rapidly in your baby’s first few months.”

As your baby’s eyes adjust to the outside world, it’s normal for them to wander outward or cross occasionally. Those little peepers are just finding their rhythm. Around 4 months of age, babies can usually move their eyes together without issues and this is often when you stop seeing crossed eyes.

The shape of their face just makes their eyes look crossed

Sometimes, a newborn’s “crossed eyes” aren’t crossed at all. It could be that the shape of their face during infancy makes their eyes look like they’re turning inward, which healthcare providers call pseudostrabismus.

“Many babies have a wider nose and small folds of eyelid skin that cover the inner corners of their eyes,” clarifies Dr. Rambhatla. “When you can’t see the inner corner of their eyes, your baby may look a little cross-eyed. But as your baby grows, these skin folds become less prominent, and their eyes will appear straight.”

When to see your provider about crossed eyes in your baby

Crossed eyes happen from time to time in many newborns. But in some cases, wandering or crossed eyes can be a sign of an eye condition like strabismus (eye misalignment).

“Strabismus is a common eye condition in children and it’s treatable,” says Dr. Rambhatla. Talk to your pediatrician if your baby’s eyes:

• Cross or turn outward frequently.
• Continue to cross or move in different directions past 6 months of age.
• Stay crossed or turned in different directions for more than a few seconds at a time.

Your pediatrician is here to help

It’s normal for a newborn to experience crossed eyes occasionally. Still, don’t be afraid to raise any concerns about your baby’s eyes with their healthcare provider.

“Your pediatrician is here to listen to any questions and concerns you have about your baby’s health,” reassures Dr. Rambhatla. “And if a baby does have an eye condition, early diagnosis and treatment will give them the best chance of healthy vision now and for years to come.”