Tear formation in newborns does not usually begin until which age?

• A. Two to three months of age
• B. Five to seven months of age
• C. One to two weeks of age
• D. Three to four months of age

Answer: (A)

Tear production depends on the maturation of the lacrimal glands and the neural pathways that trigger tearing. In the newborn period these systems are still developing, so observable tearing when crying typically does not occur until about two to three months of age. That timing reflects normal developmental maturation rather than a problem.

If tearing is absent beyond this window or there are other eye concerns, evaluation is needed for issues like nasolacrimal duct obstruction or lacrimal gland problems.