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Enhanced pupillary light reflex in infancy is associated with autism diagnosis in toddlerhood
Pär Nyström1, Teodora Gliga2, Elisabeth Nilsson Jobs1
1Uppsala Child & Babylab, Department of Psychology, Uppsala University, SE-75142, Uppsala, Sweden.
Insights
Infants later diagnosed with autism spectrum disorder (ASD) show a larger pupillary light reflex. This sensory difference in infancy may aid early ASD risk assessment.
Area of Science:
- Neurodevelopmental disorders
- Sensory processing
- Infant development
Background:
- Autism spectrum disorder (ASD) affects ~1% of the population.
- Previous research indicated weaker pupillary light reflexes in children and adults with ASD.
- Infant siblings of children with ASD previously showed stronger pupillary light reflexes than low-risk infants.
Purpose of the Study:
- To investigate pupillary light reflex differences in 9-10-month-old high-risk infant siblings.
- To determine if pupillary light reflex magnitude in infancy predicts later ASD diagnosis and symptom severity.
Main Methods:
- Pupillometry was used to measure pupillary light reflexes in 9-10-month-old infants.
- Infants were categorized as high-risk (siblings of children with ASD) or low-risk controls.
- High-risk infants were followed to 36 months for ASD diagnosis.
Main Results:
- High-risk infants who later received an ASD diagnosis showed a larger relative pupillary light reflex constriction compared to non-diagnosed high-risk infants and low-risk controls.
- The magnitude of the pupillary light reflex in infancy correlated with symptom severity at follow-up.
Conclusions:
- Sensory atypicalities, specifically in pupillary light reflexes, play a role in the etiology of ASD.
- Pupillometry shows potential as a tool for early ASD risk assessment in infants.
- Further refinement of pupillometry could enhance early identification and intervention for ASD.
Abstract:
Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting around 1% of the population. We previously discovered that infant siblings of children with ASD had stronger pupillary light reflexes compared to low-risk infants, a result which contrasts sharply with the weak pupillary light reflex typically seen in both children and adults with ASD. Here, we show that on average the relative constriction of the pupillary light reflex is larger in 9-10-month-old high risk infant siblings who receive an ASD diagnosis at 36 months, compared both to those who do not and to low-risk controls. We also found that the magnitude of the pupillary light reflex in infancy is associated with symptom severity at follow-up. This study indicates an important role of sensory atypicalities in the etiology of ASD, and suggests that pupillometry, if further developed and refined, could facilitate risk assessment in infants.
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