Newborn conjunctivitis is an inflammation of the surface or covering of the eye. It generally occurs in the first month of life.
The earlier newborn conjunctivitis is identified, the better the outcomes.
The cause of the conjunctivitis may be an irritation in the eye or a blocked tear duct. In some cases the irritation may be from the antibiotic given after delivery.
Bacteria can also cause an infection in the eye. The most common types of bacteria that cause infection in the infant’s eye come from the mother’s birth canal, and are passed to the infant during delivery. These infections can include:
The biggest risk factor for developing newborn conjunctivitis is a maternal infection or STD at the time of delivery. The mother may not have any symptoms during delivery and still be able to transmit the infection. If you are pregnant, it is important to discuss any STDs that you have or had in the past. You and your doctor can develop a plan to protect your baby from infections during delivery.
The most common symptoms are redness and swelling of the conjunctiva in the newborn. Newborn conjunctivitis may also cause:
If your baby’s pediatrician suspects newborn conjunctivitis, an eye examination will be done. The doctor will look at your baby’s eyes to check for anything that may be irritating the eye, and to see if any damage has occurred. The doctor may also want to take a sample of any discharge to determine what type of bacteria or virus is causing the infection.
The treatment of newborn conjunctivitis depends on the cause:
In cases of newborn conjunctivitis that are due to a blocked tear duct, the doctor may recommend warm compresses and gentle massage to the area to help unclog the duct.
Newborn conjunctivitis due to irritation usually improves on its own in a few days. In some cases, the irritation may be from the antibiotic given after delivery. Silver nitrate, which was often used in the past to prevent eye infection, can cause irritation in the baby’s eye. Many hospitals now use other types of antibiotics to avoid this irritation.
Infants that have an eye infection due to bacteria are given antibiotics.
In addition, the eye may be washed to remove the discharge.
Bacterial cases of newborn conjunctivitis are rare because of hospital infection prevention measures. When they do occur, they are usually identified quickly. Antibiotic treatment is very effective and the infection resolves quickly.
Since the potential for serious eye damage to the infant is so great, it is standard treatment in US hospitals to give infants antibiotic eye drops or ointment right after delivery. This helps prevent the development of an eye infection even if the mother shows no symptoms of infection. Prevention methods for newborn conjunctivitis include:
An open, honest relationship with your doctor is important during your pregnancy. Disclosure of your full medical history can help protect your baby from infection.
American Association for Pediatric Ophthalmology and Strabismus
Healthy Children—American Academy of Pediatrics
About Kids Health—The Hospital for Sick Children
Caring for Kids—Canadian Paediatric Society
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Mandell GI, JE Bennett, Dolin R. Principles and Practice of Infectious Disease. 6th ed. Churchill Livingstone; 2004.
Ophthalmia neonatorum. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 3, 2012. Accessed February 19, 2013.
RE Behrman, RM Kliegman, HB Jenson. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, PA: Saunders; 2004.
RM Kleigman, RE Behrman, HB Jenson, BF Stanton. Nelson Textbook of Pediatrics. 18th Edition. Eds. Saunders Publishers, Philadelphia PA, 2007.
Rubenstein JB, Jick SL. Disorders of the conjunctiva and limbus. Ophthalmology. 2nd ed. Mosby: New York; 2004.
Last reviewed December 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.