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Vision normally sharpens as a baby matures into childhood. However, vision problems may be suspected in children who are not responding to their environment correctly. The following are some age-related guidelines that may help you know if your child is having vision problems. It is important to remember that not all children are the same. Some children may reach milestones at different ages. Talk with your child's healthcare provider if you are suspicious that your child is not seeing correctly or is experiencing other problems with their vision.
Milestones related to vision or seeing
Birth:
Poor eyesight
Infant will blink in response to bright light or touching eye
Eyes are sometimes uncoordinated, may look cross-eyed
Able to stare at object if held 8 to 10 inches away
Initially fixes eyes on a face or light then begins to follow a moving object
1 month:
Looks at faces and pictures with contrasting black and white images
Can follow an object up to 90 degrees
Watches parent closely
Tears begin to form
2 to 3 months:
Begins to be able to see an object as one image
Looks at hands
Follows light, faces, and objects
4 to 5 months:
Beginning to reach hands to objects, may bat at hanging object with hands
Can stare at a block
Recognizes bottle
Will look at self in mirror
Will look at own hand
5 to 7 months:
Has full color vision, and able to see at longer distances
Can pick up a toy that is dropped
Will turn head to see an object
Likes certain colors
Will touch image of self in mirror
7 to 11 months:
Can stare at small objects
Begins to have depth perception
Plays peek-a-boo
11 to 12 months:
Can watch objects that are moving fast
12 to 14 months:
Able to place shapes in correct holes
Becomes interested in pictures
Recognizes familiar objects and pictures in books, and may point to some objects when asked, "Where is the ...?"
Points and gestures for objects and actions
Recognizes own face in mirror
18 to 24 months:
Able to focus on objects near and far
Scribbles with crayon or pencil, and may imitate drawing straight line or circle
Can point to body parts (nose, hair, and eyes) when asked
36 to 48 months:
Can copy shapes
Vision is nearing 20/20
Names colors
48 to 72 months (4 to 6 years):
Recognizes and recites the alphabet
Ready to begin reading
Has complete depth perception
Uses scissors
Can name coins and money
Parents can take steps to help their baby's vision develop correctly. These include:
Watching for any signs of vision problems and bringing them to your pediatrician's attention
Getting infant or child eye screening as recommended to catch any vision problems as early as possible
Talking to your pediatrician about age-appropriate activities you can do with your baby to help vision development.