Early monocular enucleation selectively disrupts neural development of face perception in the occipital face area

Krista R Kelly1, Brenda L Gallie2, Jennifer K E Steeves3

  • 1Retina Foundation of the Southwest, Dallas, TX, USA.

Insights

Early enucleation due to retinoblastoma impairs face perception development. Brain imaging reveals reduced activation in specific face-processing areas, not affecting place perception networks.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Ophthalmology

Background:

  • Retinoblastoma often necessitates early eye removal (enucleation), disrupting binocular vision during critical developmental periods.
  • Previous research demonstrated that this visual disruption leads to deficits in face perception.
  • The neural underpinnings of this face perception impairment remain largely unexplored.

Purpose of the Study:

  • To investigate the neural correlates of impaired face perception in adults with early-life monocular enucleation due to retinoblastoma.
  • To examine brain activity in face- and place-preferential cortical regions using functional magnetic resonance imaging (fMRI).

Main Methods:

  • A case series study involving 6 adults with early monocular enucleation and 10 binocularly-intact controls.
  • fMRI scans were conducted during separate runs, each including blocks of face, place, and object images.
  • Region-of-interest (ROI) analyses focused on face-preferential areas (FFA, OFA) and place-preferential areas (PPA, TOS).

Main Results:

  • Adults with early enucleation showed reduced functional activation in specific face-preferential regions (left FFA, right OFA, left OFA).
  • Activation in the right FFA (face-preferential) and bilateral PPA/TOS (place-preferential) was comparable to controls.
  • These findings suggest a specific disruption in face processing networks.

Conclusions:

  • Early monocular enucleation hinders the development of sophisticated face processing capabilities.
  • The observed neural deficits are specific to face-processing networks, sparing those involved in processing other visual categories like places.
  • This highlights the critical role of early binocular vision for the maturation of specialized neural systems for face recognition.

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