Ophthalmological, cognitive, electrophysiological and MRI assessment of visual processing in preterm children without

Michelle O'Reilly1, Brigitte Vollmer, Faraneh Vargha-Khadem

  • 1Developmental Cognitive Neuroscience Unit, UCL Institute of Child Health, London, UK. m.oreilly@ich.ucl.ac.uk

Developmental Science
|August 18, 2010
PubMed

Insights

Children born preterm without major neurological issues show subtle neurophysiological differences in visual processing. However, overall visual function remains normal, suggesting preterm birth doesn't systematically cause visual dysfunction in this group.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Ophthalmology

Background:

  • Preterm birth is linked to chronic visual processing deficits.
  • It remains unclear if subtle visual processing abnormalities exist in preterm children without major neuromotor impairment.

Purpose of the Study:

  • To investigate functional visual processing abnormalities in preterm children without cerebral palsy.
  • To compare visual function between preterm and full-term children with normal neurological status.

Main Methods:

  • Ophthalmological assessment, cognitive tests (visual-motor, visual-perceptual, visual-spatial), and pattern-reversal visual evoked potentials (PR-VEPs) were used.
  • Brain MRI and neuromotor assessments were conducted for all participants.
  • A cohort of 12 preterm children (<33 weeks gestation or <1000g birthweight) and 12 full-term controls (8-12 years old) were studied.

Main Results:

  • No significant differences were observed in ophthalmological, cognitive, neurological, neuromotor, or MRI measures between groups.
  • The P100 component of the PR-VEP demonstrated a significantly shorter latency in preterm children compared to full-term controls.

Conclusions:

  • Subtle neurophysiological abnormalities in visual processing may exist in preterm children without major neuromotor impairment.
  • Visual dysfunction is not systematically associated with preterm birth when neurological status is normal.

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