The impact of extrauterine life on visual maturation in extremely preterm born infants

Eva Schwindt1, Vito Giordano2, Zsofia Rona2

  • 1Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Pediatric Intensive Care and Neuropediatrics, Waehringer Guertel 18-20, 1090, Vienna, Austria. eva.schwindt@meduniwien.ac.at.

Pediatric Research
|July 4, 2018
PubMed

Insights

Extrauterine life accelerates visual system maturation in preterm infants. Longer postnatal age, after reaching a maturational threshold, leads to shorter visual evoked potential (VEP) peak-times.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Ophthalmology

Background:

  • Brain maturation is significantly influenced by extrauterine life.
  • Limited research exists on visual evoked potential (VEP) development in extremely preterm infants, particularly concerning extrauterine influences.
  • Understanding VEP maturation is crucial for assessing visual system development in this vulnerable population.

Purpose of the Study:

  • To determine normal VEP maturation in infants born before 29 weeks gestational age (GA).
  • To investigate the impact of extrauterine life on VEP development in extremely preterm infants.

Main Methods:

  • Prospective recording of VEPs in extremely preterm infants.
  • Identification of principal VEP peaks (N0, N1, P1, N2, P2, N3).
  • Assessment of peak-time and peak appearance percentages across different gestational age groups and postnatal ages up to 8 weeks.

Main Results:

  • VEP peak-times decreased with increasing gestational age at birth.
  • Infants with longer postnatal age (extrauterine life) showed shorter VEP peak-times, indicating accelerated maturation.
  • This acceleration effect was less pronounced in infants born before 25 weeks GA.

Conclusions:

  • Extrauterine life appears to accelerate visual system maturation in preterm infants once a certain developmental threshold is achieved.
  • Postnatal age is a significant factor in VEP maturation beyond gestational age.
  • Findings highlight the importance of considering extrauterine environment in assessing visual development in extremely preterm infants.
Abstract

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