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 their 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,, “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 they fall asleep or while breastfeeding. It can be slow, repeated opening and closing, or blinking 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, hypoglycemiaⁱA condition where the blood sugar level in the body is below the normal range (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.

Causes Of Abnormal Eye Movements In Newborns

Babies may move their eyes in varying directions in the initial months after birth for various reasons, ranging from benign to serious medical conditions.

1. Transient disconjugate eye movements

In the initial phase, a baby’s eye tends to move independently in different directions, temporarily making eyes look divergent or convergent. This temporary condition may occur around the time the baby falls asleep or just enters a state of wakefulness and resolves with age (2). However, if the movement is persistent and does not reduce with age, the child may have a condition that requires medical attention.

2. Nystagmus

Nystagmus is when the child has involuntary and uncontrolled movements in one or both eyes. These movements may be horizontal, vertical, or rotational and cause poor vision. The condition may be caused by congenital problems in the pathway between the brain and the eyes, brain injuries, brain maldevelopments or lesions, and other drug-induced reasons (3) (4) (5). However, some babies show these movements as part of natural eye development. Parents may consult a pediatric ophthalmologist to rule out any underlying problems.

3. Strabismus

Strabismus is a condition in which the child’s eyes misalign, causing abnormal or jerky movement. These movements may occur either towards the nose or away from the nose or be vertically higher or lower than the normal eye level. This condition may affect a single eye or both eyes. It is caused by weakness or palsy in one of the cranial nerves responsible for eye movement. Strabismus may lead to other eye problems such as Amblyopia or lazy eye (6) (7).

4. Other causes

A few other causes of jerky or roving eye movements include occipital lobe damage in cerebral palsy, epilepsy, encephalopathy, and high fever or infection-induced seizures (8) (9). These conditions often occur with more pronounced symptoms, which may be noticed earlier than the abnormal eye movements.

Warning Signs And Symptoms Of 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. However, pathological eye rolls 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 nystagmusⁱA term for rapid, unrestrained eye movements , strabismusⁱA condition where neither of the eyes points in the same direction , 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, convulsionsⁱFast and rhythmic shaking, with muscles tightening and relaxing frequently , 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, watch out for signs of neurological disorders such as infantile spasms (West syndrome). According to the American Academy of Pediatrics (AAP), West syndrome affects 1 in 2,000 children, typically beginning between 2 and 12 months of age.

Some warning signs of serious illnesses that may cause eye-rolling in infants may include (10):

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

These can be seizure symptoms 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’ to 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 of 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 seizures, discuss with your doctor to diagnose the causes.

Eye rolling in babies may not always be serious. You may find them rolling their eyes when they are sleepy or breastfeeding. So, the behavior may be a transition phase between sleep and wakefulness. However, eye rolling might also be seizure-related. It may sometimes indicate head injuries, neurological disorders, or hypoglycemia. It may also indicate poor eye muscle control or still-developing brain functions. Irrespective of the cause, the condition should not be ignored. If they exhibit symptoms such as shivering, limb stiffening, or irritability, consult your doctor for treatment options.

Is it normal that my newborn baby often rolls her eyes and shakes? Alleviate your worries by watching this video, which provides valuable insights into this behavior and the treatment you can look out for.