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Published on: May 12, 2019
Visual development in infants: physiological and pathological mechanisms
Dominique Brémond-Gignac1, Henri Copin, Alexandre Lapillonne
1Pediatric Ophthalmology Department, Amiens University Hospital, CHU Amiens, University of Picardie Jules Verne, Amiens, France. bremond.dominique@chu-amiens.fr
Insights
Early detection and intervention are crucial for preventing permanent vision loss in infants. Optimized nutrition, especially docosahexaenoic acid and arachidonic acid, supports healthy visual development and reduces risks.
Area of Science:
- Ophthalmology
- Developmental Biology
- Pediatrics
Background:
- Infant visual development is complex and vulnerable, especially in preterm neonates.
- Abnormal visual input during critical periods can cause irreversible visual impairment.
- Nutrition significantly impacts visual system maturation.
Purpose of the Study:
- To review current knowledge on infant ocular conditions and abnormal visual development.
- To explore risk factors, causes, and mechanisms of visual impairment.
- To highlight the importance of screening, diagnosis, treatment, and nutrition.
Main Methods:
- Literature review of ocular conditions affecting infant visual development.
- Analysis of factors influencing visual system maturation.
- Discussion of diagnostic and therapeutic strategies.
Main Results:
- Visual development is incomplete at birth, with premature infants being particularly vulnerable.
- Visual deprivation, amblyopia, and misalignment can lead to abnormal eyeball growth and neurological changes.
- Essential fatty acids like DHA and ARA in infant formulas may protect against visual abnormalities.
Conclusions:
- Visual anomalies are common in infants, especially preterm neonates.
- Early screening and intervention are vital to prevent permanent visual impairment.
- Optimized nutrition plays a key role in mitigating risks and preventing long-term visual deficits.
Purpose Of Review:
This review summarizes current knowledge on ocular conditions related to abnormal visual development in infants, including prevalence, risk factors, causes, and mechanisms involved. We discuss the role of eyeball growth with pathologic mechanism of visual deprivation and development of amblyopia in infants, particular developmental issues in preterm neonates, methods of visual assessment and screening, diagnosis, treatment, and nutritional issues.
Recent Findings:
Visual development is incomplete at birth, particularly in premature infants; maturation of the visual system--including neurological and ocular components--is influenced by many factors including prenatal and postnatal nutrition and postnatal visual stimulation. In early life, particularly during sensitive periods of development, abnormal visual input, for example caused by visual deprivation mechanism, amblyopia, or ocular misalignment, leads to abnormalities in visual development, including abnormal eyeball growth and neurological changes. Untreated anomalies or abnormal visual development can result in long-term or even permanent visual impairment. Nutrition plays a key role in visual development: infant formulas containing nutrients essential for normal visual development (specifically omega-3 fatty acid docosahexaenoic acid and omega-6 fatty acid arachidonic acid) may protect nonbreast-fed infants against visual development abnormalities.
Summary:
Problems related to visual anomalies are common among young children, particularly in preterm neonates. Screening to enable early diagnosis and correction of visual deficiency is important as abnormal visual input can lead to abnormalities in visual development, which can become permanent visual impairment if left untreated. Optimized nutrition can help to reduce the risk of abnormal visual development and prevent long-term or permanent visual deficits.
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