Cortical visual function in preterm infants in the first year

Daniela Ricci1, Laura Cesarini, Francesca Gallini

  • 1Paediatric Neurology Unit, Catholic University, Rome, Italy.

Insights

Most visual functions mature similarly in preterm and term infants during the first year. However, preterm infants show persistent difficulties with fixation shift, indicating potential issues with visual attention and cortical processing.

Area of Science:

  • Developmental Pediatrics
  • Ophthalmology
  • Neuroscience

Background:

  • Preterm birth can impact neurodevelopment, including visual pathways.
  • Understanding visual maturation in preterm infants is crucial for early intervention.

Purpose of the Study:

  • To compare visual function maturation in low-risk preterm infants with term-born infants.
  • To identify potential delays or differences in visual development during the first year.

Main Methods:

  • Seventy-five low-risk preterm infants (25.0-30.9 weeks gestation) were assessed.
  • Ophthalmological examinations and tests for visual fields, acuity, and fixation shift were conducted at 3, 5, and 12 months corrected age.

Main Results:

  • Visual function maturation was comparable to term-born infants in most tested areas.
  • A significant percentage of preterm infants failed the fixation shift test at all time points (3, 5, and 12 months).

Conclusions:

  • Preterm infants exhibit a distinct visual behavior profile.
  • Difficulties with fixation shift suggest potential challenges in visual attention and cortical processing in this population.
Abstract

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