Related Experiment Video
Updated: Jul 4, 2026

Assessing Teratogenic Changes in a Zebrafish Model of Fetal Alcohol Exposure
Published on: March 20, 2012
Eye malformations in children with heavy alcohol exposure in utero
Elizabeth Y Flanigan1, Sofia Aros, Maria Ferraz Bueno
1Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.
Insights
Children exposed to heavy prenatal alcohol but without fetal alcohol syndrome (FAS) show no increased risk of eye abnormalities. Eye exams are unlikely to diagnose alcohol-related damage in these cases.
Area of Science:
- Ophthalmology
- Prenatal Alcohol Exposure
- Pediatric Health
Background:
- Fetal alcohol syndrome (FAS) is associated with significant ophthalmologic defects.
- The risk of eye abnormalities in children exposed to high levels of alcohol prenatally but without FAS is not well-defined.
Purpose of the Study:
- To investigate whether children with heavy prenatal alcohol exposure, but without FAS, exhibit eye abnormalities.
- To determine if eye examinations are useful for diagnosing alcohol-related damage in children not meeting FAS criteria.
Main Methods:
- Screened pregnant women for alcohol consumption (> 2 oz absolute alcohol/day).
- Followed 43 exposed offspring and 55 controls (ages 4-9 years) with masked, standardized ophthalmologic examinations.
Main Results:
- No significant differences in visual acuity, refractive errors, ptosis, epicanthal folds, or short palpebral fissures between groups.
- Normal biomicroscopy in exposed subjects; cataracts found in 4% of controls, none exposed.
- Arterial tortuosity observed in 16% of exposed and 15% of controls; optic nerve hypoplasia absent in all.
Conclusions:
- Ophthalmologic risks associated with prenatal alcohol exposure appear limited to children diagnosed with FAS.
- Children exposed to high levels of alcohol prenatally who do not develop FAS do not present with increased eye abnormalities.
- Eye examinations are unlikely to aid in diagnosing suspected alcohol-related damage in children without FAS.
Objective:
To determine whether children who do not develop fetal alcohol syndrome (FAS) despite heavy alcohol exposure are at risk for eye abnormalities.
Study Design:
We screened 9628 pregnant women and identified 101 women who were drinking >/= 2 oz of absolute alcohol per day and 101 nondrinking control women. We followed 43 exposed and 55 control offspring between age 4 and 9 years, performing masked standardized ophthalomologic examinations.
Results:
The groups did not differ in their rates of impaired visual acuity, refractory errors, ptosis, epicanthal folds, or short palpebral fissures. Biomicroscopy examination was normal in all exposed subjects; cataracts were detected in 2 control subjects (4%) but in no exposed subjects. Arterial tortuosity was seen in 7 exposed subjects (16%) and in 8 control subjects (15%). Optic nerve hypoplasia was not detected in any subject.
Conclusions:
Previous research has found that children with FAS have a high incidence of serious ophthalmologic defects; our data indicate that the risk is limited to children with FAS and does not extend to children exposed to high levels of alcohol prenatally who do not develop FAS. Eye examinations are unlikely to clarify the diagnosis in children suspected of having alcohol-related damage.
More Related Videos
Related Concept Videos
Teratogenicity
Inborn Errors of Metabolism

