Sticky Eye in Newborn: Symptoms, Causes, and Treatments

It is not uncommon for parents to notice a newborn’s eyelids sticking together or a discharge forming around the lashes, especially after sleep. This condition, often referred to as infant sticky eye, usually arises due to a blocked tear duct or mild inflammation of the eye surface. While it can appear concerning, most cases are benign and improve with simple care measures at home. Understanding the underlying cause helps parents distinguish between a harmless occurrence and one that requires medical attention.

At times, sticky eyes may be confused with an eye infection, as both can present with redness and discharge. However, not all cases in babies indicate contamination. By learning the typical symptoms, causes, and treatment options, caregivers can manage the condition more effectively and seek timely help when necessary.

Causes of Sticky Eye in Newborn

There are several factors that can contribute to sticky eyes in infants. While most are considered minor and typically self-limiting, some may require closer monitoring or treatment. Understanding these causes helps parents respond appropriately.

• Blocked Tear Duct (Nasolacrimal Duct Obstruction): The most common cause is when tears do not drain properly, leading to watery eyes and discharge. Most resolve naturally within 6–9 months, though some may persist up to a year.
  
  
• Mild Eye Infection: Bacterial or viral contamination can irritate the conjunctiva, resulting in sticky eyelids and discharge. Infections often present with redness and may require medical care if symptoms persist.
  
  
• Conjunctivitis: Inflammation of the thin eye membrane, which may be due to infections, irritants, or allergies, often causes sticky buildup. In newborns, prompt assessment is important to rule out more severe infection.
  
  
• Birth-Related Exposure: Some infants develop sticky eyes after contact with maternal bacteria or viruses during delivery. Depending on the infection (e.g., gonococcal, chlamydial, or herpetic), urgent medical care and specific antibiotics or antivirals are required.

Symptoms of Infant Sticky Eye

Recognising the tell-tale signs of the condition early helps parents differentiate sticky eye from more serious eye conditions. Symptoms are usually mild yet can cause discomfort for the baby.

• Eyelid Stickiness: This is one of the most noticeable features. Eyelids may stick together, especially after sleep, making it a struggle for the baby to open their eyes.
  
  
• Discharge Build-Up: A yellow or whitish fluid may accumulate at the corners of the eyes. In some cases, it crusts and hardens along the lashes.
  
  
• Excessive Watering: Constant tearing is common when tears are unable to drain properly. The eye may look watery even when the baby is not crying.
  
  
• Redness or Mild Swelling: Some infants show clear signs of irritation around the eyes. While redness or a bit of swelling is often harmless, its persistence could be a sign of infection, requiring urgent attention.

If redness, swelling at the inner corner of the eye, fever, or copious yellow-green discharge occurs, this may indicate infection and requires urgent medical evaluation.

Newborn Sticky Eye Treatment

Treatment depends on the cause and severity of the condition. Most cases improve with gentle care at home, but some may require medical attention.

Medical Treatments

When a sticky eye persists or appears linked to infection, medical care ensures proper management. Doctors may recommend:

• Antibiotic Eye Drops or Ointments: Prescribed in cases of bacterial conjunctivitis to clear the infection and prevent complications. These are safe for infants when used under medical supervision. Only prescribed after confirmation of bacterial conjunctivitis by a doctor.
  
  
• Tear Duct Massages: A pediatric ophthalmologist may demonstrate the Crigler massage technique, which involves gentle downward pressure over the tear sac several times a day. Regular, gentle pressure has been shown to improve drainage over time.
  
  
• Surgical Intervention (Rare): If blockage persists beyond 6–12 months, a minor probing procedure may be recommended. Earlier intervention may be considered if symptoms are severe.
  

Newborn Sticky Eye Home Remedies

For milder cases, simple measures at home followed by proper hygiene can bring relief and support healing. These approaches are safe when done correctly:

• Warm Compress: A sterile soft lukewarm cloth, placed gently over the eye, helps loosen discharge and soothe irritation. Repeated application can also reduce minor swelling.
  
  
• Cleaning with Sterile Cotton: Wiping the eyelids carefully helps remove sticky buildup. A sterile cotton dipped in cooled boiled water prevents crusts from hardening and makes the eyes more comfortable. Always use a fresh cotton swab for each wipe, move from the inner corner outward, and wash hands thoroughly before and after.

When to See a Doctor?

Although sticky eyes in newborns are often harmless and improve with simple care, there are times when professional evaluation is essential. Parents should seek medical help if the discharge becomes thick, greenish, or foul-smelling, or if the eyes appear swollen and red. Persistent or worsening symptoms beyond a few months, frequent recurrence, swelling at the inner corner of the eye, or associated fever may also indicate an underlying infection that can benefit from prompt treatment.

Myths vs. Facts About Infant Sticky Eye

Parents often hear conflicting advice when caring for a baby with sticky eyes. Understanding the difference between myths and facts helps ensure safe and effective care.

Helping parents understand the nature of common ailments can enable them to make safe choices for their little one’s health. With trusted guidance from specialists at Nethradhama Superspeciality Eye Hospital, infant sticky eye can be managed with confidence and care.