What color should the white of a baby's eyes be?

Patient's question:

My daughter is four months old. Her sclera is slightly blue, not white. A doctor told me that a blue sclera indicates anemia.

Doctor's answer:

Blueish discoloration is commonly seen in infants and young children. This is primarily because the sclera (the white part of the eye) in infants and young children is thinner, allowing the underlying choroidal pigment layer to show through, resulting in a blue or purplish hue. This is a physiological phenomenon and does not require any concern. Newborns do not follow moving objects with their eyes until they are about one month old. Generally, after the baby turns one month old, they will begin to follow familiar sounds, people, or objects with their gaze. It is recommended that you observe the child's other symptoms in more detail.

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