Eye rolling is a common phenomenon that many people do involuntarily. However, when you see a baby rolling eyes, you may feel concerned about a possible health problem. Nevertheless, most babies and infants may roll their eyes on a normal basis without any underlying causes of concern. However, you may seek medical care if your baby’s eye-rolling movements become too frequent and they begin to display any signs of neurological disorders. Explore more about the possible causes, signs and symptoms, warning signs, and facts to remember about eye-rolling in babies.

Why Do Babies Roll Their Eyes While Sleeping?

Babies may roll eyes since their eye muscles and the visual system are not yet completely developed. Eyesight and control over eye muscles gradually develop in babies over time (1). According to Daniel Boyer, MD, specialized in molecular biology, histology, pharmacology, and embryology, to name a few, “Babies roll their eyes because it is one of their natural reflexes. When babies stop rolling their eyes, it means that they have developed enough control over their muscles to keep their eyes focused in the same direction. This typically happens around six months.” Eye rolling tends to happen during the transitional time between sleep and wakefulness. You may often notice eye-rolling when your baby falls asleep or while breastfeeding. It can be slow, repeated opening and closing of the eyes. While breastfeeding does not cause eye-rolling in babies, most moms often observe their little ones close their eyes during nursing sessions. Neurological disorders, head injuries, hypoglycemia (low blood sugar), fever, etc. may cause seizure-related eye-rolling in many babies. Younger babies may roll their eyes since they have poor eye muscle control and developing brain functions. Whereas, it could be more likely due to pathology in a ten-month-old baby who has developed reasonable control over the eye muscles.

Warning Signs And Symptoms In A Baby Rolling Eyes

Eye rolling can be normal in many circumstances. There won’t be any signs of behavioral or physical changes in babies who have normal eye movements. But, pathological eye roll may also be associated with other symptoms depending on the brain’s affected area or the problem with the visual system. Po-Chang Hsu, MD, a medical content expert at SleepingOcean.com,  says, “Eye-rolling could be a sign of disorders, such as nystagmus, strabismus, seizures, and cerebral palsy. However, parents should remember that eye-rolling doesn’t always mean an underlying issue. They should only be concerned if such eye movements are accompanied by symptoms, such as shivering, convulsions, uncontrolled crying, body jerkiness, trembling, increased irritability, irregular breathing, or any unusual changes in the baby’s behavior.” So, if you notice your baby rolling eyes often, look for signs of neurological disorders such as infantile spasms (West syndrome).You may also look for any warning signs of serious illnesses that may cause eye-rolling in infants. These warning signs may include (2):

Limb stiffening Shivering Irregular breathing Increased irritability Jerky body movements or convulsions Prolonged crying

These can be symptoms of seizure in babies, and they may often require special care to avoid head injuries or other traumas during the seizure. However, Dr. Boyer clarifies, “A seizure is a medical condition that occurs when there is a sudden, brief change in how your brain’s electrical signals work. These changes can affect your body and brain’s normal functions, causing symptoms that can be mild to severe. Rolling your eyes may not be a sign of a seizure because there is no uniform interpretation of what eye-rolling may mean. However, eye-rolling seizures can involve a person’s eyeballs.” Eye movements not seen as normal include eyes that look only to one side and seem to be ‘stuck’ that side or eyes jerking from side to side constantly and not just associated with falling asleep or feeding.

What To Do If A Baby Rolls Eyes?

Frequent observation is required to determine whether eye-rolling is severe or not. You may keep a log of the number of times eye-rolling occurs and any associated symptoms. Daily records on the baby’s eye-rolling habit can be useful for diagnosis. If possible take a recording of the event on your phone. It sometimes comes in handy when the healthcare provider is seeing the baby when the eye movements are not happening. A seizure can be due to fever, infections, or epilepsy disorder in babies. Seek immediate medical care to diagnose the cause.

When To Consult A Doctor

Consult your baby’s pediatrician if you notice abnormal eye-rolling in your baby. If you are concerned or suspect infantile seizure, discuss with your doctor to diagnose the causes.

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