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Updated: Jul 23, 2026

A Method to Quantify Visual Information Processing in Children Using Eye Tracking
Published on: July 9, 2016
Visual function in low birthweight children
A R O'Connor1, T J Stephenson, A Johnson
1Division of Orthoptics, University of Liverpool, Liverpool L69 3GB, UK. annaoc@liv.ac.uk
Insights
Children born with low birth weight (LBW) exhibit significantly reduced visual acuity and contrast sensitivity at age 10-12 years. These visual function deficits persist despite prematurity not being a strong predictor of long-term outcomes.
Area of Science:
- Ophthalmology
- Developmental Pediatrics
- Public Health
Background:
- Low birth weight (LBW) is a significant global health concern.
- Visual development in children born prematurely requires ongoing assessment.
- Long-term visual function in LBW children compared to full-term peers is not fully understood.
Purpose of the Study:
- To assess visual functions in 10-12-year-old children born with LBW (<1701 g).
- To compare visual outcomes of LBW children with a cohort of full-term born children.
- To identify potential predictors of long-term visual function in LBW individuals.
Main Methods:
- A cohort of 572 LBW children underwent neonatal screening and were invited for a 10-12 year follow-up.
- A control group of 169 full-term born schoolchildren was recruited.
- Visual acuity (distance and near), contrast sensitivity, color vision, and visual fields were measured.
Main Results:
- 293 LBW children completed the follow-up examination.
- LBW children demonstrated significantly lower distance and near visual acuity and contrast sensitivity compared to the full-term cohort (p<0.001).
- Retinopathy of prematurity (ROP) was an unreliable predictor of long-term visual outcomes; no key neonatal factors were identified as predictors.
Conclusions:
- LBW is associated with a statistically significant deficit in visual acuity and contrast sensitivity.
- Both LBW and ROP negatively impact long-term visual functions in children.
- Early identification and monitoring of visual health in LBW populations are crucial.
Aim:
To determine the visual functions, at age 10-12 years, of a geographically based cohort of children of birth weight less than 1701 g. The results were compared to a group of children born at full term.
Methods:
572 low birthweight (LBW) "low birthweight cohort" children who had been examined in the neonatal period were invited for review at 10-12 years of age. 169 11 year old schoolchildren born at full term were also recruited, "school cohort." Visual acuity (at distance and near), contrast sensitivity, colour vision, and visual fields were measured.
Results:
293 of the original 572 participants consented to a further examination. Compared to the school cohort of children born at term the low birthweight cohort showed significantly lower near and distance acuities and contrast sensitivity (p<0.001 for all uniocular and binocular measures). Retinopathy of prematurity (ROP) was a very poor predictor of outcome and multivariate analysis did not identify any key neonatal factors as predictors of long term visual outcome.
Conclusions:
Low birthweight children have a small but statistically significant deficit in both visual acuity and contrast sensitivity. Low birth weight and ROP both impact on long term visual functions.
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