January 7, 2026

Conjunctivitis in babies: See your eye doctor (not pediatrician)

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Happy young mother with her cute baby at home

When your baby develops red, watery eyes or crusty discharge, your first instinct might be to call the pediatrician. However, conjunctivitis requires specialized eye examination equipment and training that pediatricians don’t have, making your eye doctor the better choice for accurate diagnosis and effective treatment.

Vision Source Mandan provides comprehensive eye care for patients of all ages, including infants. Dr. Brittany Schauer, Dr. Wayne Aberle, and Dr. Danielle Dyke use specialized diagnostic tools to examine babies’ eyes and accurately diagnose eye conditions like conjunctivitis. We offer same-day appointments for urgent concerns and participate in the InfantSEE program, providing no-cost comprehensive eye assessments for infants between six and 12 months old.

Why Pediatricians Aren’t Equipped for Eye Issues

Pediatricians provide excellent general health care for children, but they lack the specialized equipment needed to properly diagnose eye conditions. Eye doctors use microscopes called slit lamps that magnify eye structures and allow detailed examination of the conjunctiva, cornea, and other tissues. This equipment reveals crucial details about what’s causing your baby’s symptoms.

Without this specialized diagnostic equipment, pediatricians often default to prescribing antibiotics regardless of the actual cause. This approach creates problems when conjunctivitis results from viral infection or blocked tear ducts, neither of which responds to antibiotics. Your baby receives ineffective treatment while the actual problem continues.

The complexity of diagnosing infant eye conditions requires specific training and experience. Eye doctors regularly examine babies and young children, developing techniques to assess eye health in patients who can’t communicate their symptoms. We understand normal infant eye development and can distinguish between conditions requiring treatment and temporary issues that resolve on their own.

Types of Conjunctivitis in Babies

Bacterial conjunctivitis produces thick, yellow or greenish discharge that may cause the eyelids to stick together after sleep. This type requires antibiotic drops or ointment. Without proper treatment, bacterial conjunctivitis can spread and potentially cause complications.

Viral conjunctivitis often accompanies colds or other viral illnesses. The discharge tends to be clearer and more watery than bacterial infections. Viral cases typically resolve without antibiotics, though we provide guidance on keeping your baby comfortable and preventing spread to other family members.

Blocked tear ducts commonly affect newborns and young infants, causing symptoms that look similar to conjunctivitis. The blockage prevents tears from draining properly, leading to watery eyes and discharge. This condition often improves as your baby grows, though we can teach you gentle massage techniques that help open the blocked duct. Some cases require more intervention if the blockage persists beyond the first year.

How We Examine Infant Eyes

Many parents worry their baby is too young for an eye exam, but we have specialized tools and techniques for examining even the youngest patients. Your baby doesn’t need to read letters or follow complex instructions. We use handheld instruments that shine light into the eyes, allowing us to assess eye health while your baby simply looks at us.

The examination reveals whether conjunctivitis stems from infection, blockage, or another cause. We check the appearance of the conjunctiva, examine discharge characteristics, and assess overall eye health. The entire process is gentle and quick, minimizing stress for both you and your baby.

We can also evaluate your infant’s glasses prescription, check alignment between the eyes, and screen for rare but serious conditions during the same visit. This comprehensive assessment provides peace of mind that your baby’s eyes are developing properly while addressing the immediate concern bringing you in.

Treatment Differences That Matter

Receiving accurate diagnosis means your baby gets the right treatment immediately. Bacterial infections receive appropriate antibiotic drops with clear instructions on application frequency and duration. We demonstrate proper technique for administering eye drops to infants, making the process easier for parents.

Blocked tear ducts receive different management entirely. We teach you the gentle massage technique that encourages the duct to open. Most blocked ducts resolve within the first year with this conservative approach, avoiding unnecessary medication or procedures.

Viral cases receive supportive care recommendations, including keeping the eye clean and monitoring for secondary bacterial infection. We explain what improvement should look like and when to return if symptoms worsen or fail to resolve as expected.

The InfantSEE Advantage

Vision Source Mandan participates in the InfantSEE program, a national initiative through the American Optometric Association providing no-cost comprehensive eye assessments for infants. If your baby is between six and 12 months old, you can schedule a thorough eye examination at no cost through this program.

This early detection program aims to catch potential eye problems before they interfere with development. While rare, some serious conditions like retinoblastoma can affect infants. Early detection and treatment provide the best outcomes. Even if your baby seems perfectly healthy, the InfantSEE examination provides valuable peace of mind.

The program also establishes your baby with an eye care provider, making it easier to address concerns as they arise. Many parents don’t realize infants can receive professional eye examinations. By participating in InfantSEE, we help families start eye care early and maintain healthy vision throughout childhood.

Bringing Your Whole Family for Care

We welcome families of all sizes and ages. Many parents appreciate scheduling eye examinations for multiple family members during the same visit. Whether you’re bringing yourself and your infant, or scheduling appointments for your entire family, we accommodate your needs.

Establishing care for your infant now means you have a trusted provider as your child grows. We track development over time, catching changes early and addressing concerns before they affect vision or learning. Our comprehensive eye care approach supports healthy vision throughout all life stages.

When to Seek Same-Day Care

Contact us immediately if your baby develops eye discharge, redness, swelling, or excessive tearing. These symptoms may indicate conjunctivitis or another condition requiring prompt attention. We prioritize emergency eye care and offer same-day appointments for urgent concerns.

If your infant’s eye appears injured, if you notice cloudiness in the pupil, or if one eye looks different from the other, seek immediate evaluation. While most infant eye issues are minor and easily treated, some symptoms indicate more serious problems requiring quick intervention.

Expert Eye Care For Your Baby At Vision Source Mandan

Vision Source Mandan has served families in Mandan, Bismarck, and surrounding North Dakota communities since 1950. Our experienced team provides gentle, thorough eye care for patients of all ages, including newborns and infants. We understand the unique challenges of examining young children and create a comfortable experience for both parents and babies.

If your baby shows signs of conjunctivitis or other eye concerns, contact our team for same-day evaluation. Specialized diagnostic equipment and training make the difference between guessing at treatment and providing targeted care that resolves your baby’s symptoms quickly and effectively.