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My Infant Sleeps with Eyes Open. Is it Normal and How to Solve?
Sleep
time 04/01/2025
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Serena Morris
PARENTING CONTENT EXPERT

For many new parents, their baby's every action can cause a quite stir in their mind. Seeing their baby's eyes not fully closed when sleeping, or seeming to be half awake, many parents often can't help but wonder if this means there is something wrong with their baby's health. In this article, we will explore the reasons why babies sleep with eyes open, and how parents can correctly understand and deal with this phenomenon.


IN THIS ARTICLE

What Causes Infants Sleeping with Eyes Open?

Is it Normal for Infants Sleeping with Eyes Open? 

Do I Need to Take any Treatment to Infant Sleeping with Eyes Open?

When to Seek Medical Help?

How to Help Infants Get Better Sleep?  


What Causes Infants Sleeping with Eyes Open?

It is common for babies to sleep with their eyes open in newborns and infants, and it does not usually mean that there is a serious health problem. Here are some common reasons why babies sleep with their eyes open:

1. Light sleep stage

Babies have different sleep cycles than adults, and their brains and nervous systems are still developing. Therefore, babies have more light sleep stages, when their eyes may appear half-open or open. Especially in the rapid eye movement (REM) sleep stage, brain activity is more active, and the eyes may have slight movements and occasionally appear open. Light sleep stages are very common for babies, and during this stage, the eyes may sometimes remain slightly open.

2. Pseudosleep or semi-sleep state

Sometimes, babies may be in a "pseudosleep" or "semi-sleep state", that is, they look like they are sleeping, but their eyes may be partially open. In this state, the baby's brain is still in a relaxed state, but they have a certain perception of the outside world. This situation is usually temporary, and the baby will soon re-enter a deeper sleep

3. Short sleep cycle and easy to be disturbed: Babies have short sleep cycles and are easily disturbed by the external environment and wake up or switch frequently between sleep stages. When babies transition from deep sleep to light sleep, or are slightly stimulated by external sounds, light, etc., the eye muscles may relax and lose control for a short time, causing the eyes to open. Sometimes, even in sleep, they may respond to external stimuli, open their eyes briefly, and then quickly close their eyes to continue sleeping.

4. Immature nervous system

The baby's brain and nervous system are not fully developed, especially in the first few months after birth. The control mechanism of the eyelids and eyes is not fully coordinated, which may cause the eyes to not close completely during sleep. This phenomenon usually disappears as the nervous system gradually develops.

5. Eyelid muscles are not fully developed

The eyelid muscles of newborns are relatively loose and incompletely developed, which may cause the eyes to not close completely when sleeping. Especially in deep sleep or light sleep, the eyes may be partially open.

6. Genetic factors

Although this situation is relatively rare, there are certain genetic factors. If there is a genetic tendency to sleep with eyes open in the family, then the baby is likely to have this situation. This is a normal physiological genetic phenomenon and will not harm the baby's health.

7. Health problems (rare)

Although most babies do not have health problems sleeping with their eyes open, in some special cases, sleeping with eyes open may be related to certain health problems, such as eyelid weakness, delayed nervous system development, or eye diseases. Especially if the baby has other symptoms, such as persistent crying, vision problems or other unusual behaviors, it is recommended to seek medical advice.


Is it Normal for Infants Sleeping with Eyes Open? 

It is normal for babies to sleep with their eyes open in many cases. In medical terms, sleeping with eyes open is called incomplete eyelid closure, commonly known as "rabbit eyes". This phenomenon is part of the physiological development of babies, reflecting their unique sleep patterns and immature nervous systems. In most cases, this phenomenon does not affect the quality of sleep of babies and will gradually decrease as they grow older. Most babies will no longer do this by the time they are 12 to 18 months old. However, sleeping with eyes open for a long time may cause the following problems:

Dry eyes: If the eyes are exposed to the air for a long time, it is easy to cause dry eyes, irritation or other eye problems.

Poor sleep quality: Sleeping with eyes open may indicate that sleep is not completely relaxed or deep sleep, which may mean that you are not fully rested or that light sleep dominates.

In general, sleeping with eyes open is not necessarily abnormal, but if this situation affects health or sleep quality, it still needs attention.


Do I Need to Take any Treatment to Infant Sleeping with Eyes Open?

Generally speaking, sleeping with eyes open does not require intervention as it does not cause serious health harm. If a baby's eyes are open and causing dry eyes or discomfort, especially when the environment is too dry. Parents can consider using a humidifier to increase the humidity in the room and keep the air moist to relieve the symptoms of dry eyes. But if it is accompanied by other symptoms or parents are deeply concerned, you can take your baby to see a pediatrician or ophthalmologist to rule out any underlying health problems. The doctor may examine the baby's eyes, nervous system, and other related systems to ensure that there are no structural abnormalities or neurodevelopmental problems.


When to Seek Medical Help?

If the baby continues to sleep with eyes open and is accompanied by the following conditions, parents should seek medical help in time:

1. Red eyes, tears or discharge

Sleeping with eyes open may expose the eyes to the air, causing dry eyes or infection. If the baby's eyes become red and swollen, tears increase, or there is abnormal discharge (such as thick eye mucus or pus), this may indicate an eye infection (such as conjunctivitis). This situation requires timely medical attention to avoid further eye problems.

2. Poor sleep quality or frequent awakenings

Sleeping with eyes open may affect the baby's sleep quality. If the baby often wakes up during sleep, appears restless and irritable, or seems unusually sleepy during the day, it may be that the sleep is not deep or the rest is not enough, which affects the development of the body and brain. If the baby has significant sleep disorders, parents can consider seeking help from a pediatrician to check whether there are other underlying health problems or sleep disorders.

3. Accompanied by strabismus or abnormal eye movements

If your baby's sleeping with eyes open is accompanied by strabismus (i.e., the eyes cannot focus) or involuntary eye movements, it may be a sign of eye problems or incomplete nervous system development. Abnormal eye movements may indicate problems with the eye muscles or nervous system, and require a detailed examination by an ophthalmologist.

4. Signs of neurodevelopmental delay

If sleeping with eyes open is accompanied by other signs of developmental delay, such as the baby lags behind in developmental milestones (such as rolling over, sitting, crawling, etc.), or shows abnormal muscle tone (such as muscles that are too loose or too tight), there may be a problem with the development of the nervous system. At this time, it is recommended to consult a pediatric neurologist as soon as possible for a detailed evaluation.

5. The baby shows obvious physical discomfort or abnormal behavior

If the baby shows obvious restlessness, keeps crying, or has other obvious symptoms of discomfort, such as shortness of breath, stiff facial muscles, etc., this may be a sign of a physical health problem and needs to be seen as soon as possible.

It is important to remember that the information provided here is for reference only and cannot replace the advice of professional medical personnel. If you have any concerns about your baby's health, the safest thing to do is to contact your pediatrician or other qualified medical professional for a consultation. They can provide you with a professional evaluation and perform any necessary tests or recommendations based on your baby's specific situation.


How to Help Infants Get Better Sleep?

Although infant sleeping with their eyes open usually don't need to worry too much, there are some ways parents can help infants get better sleep quality:

  • Create a quiet and comfortable sleeping environment: Make sure your baby's sleeping environment is quiet, dark and appropriately warm. You can use a white noise machine or soft music to help your baby fall asleep and avoid noise interference.
  • Keep a regular schedule: Babies are more likely to fall asleep and stay in deep sleep for a longer period of time under a regular schedule. Try to arrange a fixed bedtime and wake time every day.
  • Help your baby enter a deep sleep: Gently comfort your baby before falling asleep, such as patting the back and hugging, to help the baby transition from light sleep to deep sleep.
  • Observe your baby's sleep pattern: Record your baby's sleep cycle and observe whether there are frequent eye openings in a specific time period. If you have regular sleep problems, you can seek help from your doctor.

Tips: Optimize your baby's sleep with a reliable baby track App

As a parent, in addition to paying attention to the small details of your baby's sleep, it is also very important to record your baby's sleep patterns and other related activities. By recording your baby's every sleep cycle, wake time, feeding situation and other information, it can help you better understand your baby's health status and sleep needs. To manage this information more conveniently, Moonycare App is an ideal choice, which is a maternal and child app designed for parents.

It can help you easily record your baby's daily activities such as sleep, feeding, and defecation. With this app, you can clearly track your baby's sleep patterns, detect any possible abnormal changes in time, and ensure that your baby receives the best care and love. Not only that, Moonycare also provides scientific sleep advice and professional parenting knowledge, making you more comfortable in parenting.

Download MoonyCare App now to help you record every important moment and pay attention to every bit of your baby's growth.

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Conclusive Words

As parents, we may be shocked or even concerned when babies open their eyes while sleeping, but in fact, this phenomenon is normal in many babies and is often closely related to the development of their brain and nervous system. As babies grow, sleeping with eyes open usually decreases and their sleep patterns become more regular. The most important thing is that parents should keep an eye on their babies to ensure their overall health is good, and in most cases, sleeping with eyes open is not a cause for concern.

If you have any concerns during your parenting process or want to better understand your baby's sleep and growth, you may want to use some tools and apps to help record and track your baby's activities. With scientific data and professional advice, you can more easily manage your baby's sleep and sleep schedule to ensure their health and happiness.

Remember that every baby is unique, and understanding and adapting to their individual needs can help them grow up healthily in the most comfortable and safe environment.