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Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography
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Selective diet induced nutritional optic neuropathy in developmentally normal children.

Rhea W Teng1,2, Gena Heidary1,2, Ryan A Gise1,2

  • 1Department of Ophthalmology, Boston Children's Hospital, 300 Longwood Ave, Fegan 4, Boston, MA, 02115, USA.

American Journal of Ophthalmology Case Reports
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Nutritional deficiencies, particularly vitamin B12, can cause optic neuropathy in children, even those without developmental delays. A review of diets and allergies is crucial for diagnosing this vision impairment.

Keywords:
ARFIDAvoidant/restrictive food intake disorderNutrient deficiencyOptic nerve atrophyOptic neuropathyVitamin deficiency

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Nutrition

Background:

  • Nutritional deficiencies are a rare cause of pediatric optic neuropathy.
  • Literature often links nutritional optic neuropathy to developmental delay or autism.

Observation:

  • Three pediatric patients with normal neurodevelopment presented with vision loss due to vitamin deficiencies, primarily vitamin B12.
  • Previous literature indicates a high association (68%) of nutritional optic neuropathy with autism.

Findings:

  • An emerging pattern shows nutritional optic neuropathy in children without autism, linked to restricted diets from food allergies or other causes.
  • Vitamin B12 deficiency is a key factor in pediatric optic neuropathy.

Implications:

  • Highlights the importance of dietary and allergy assessments in pediatric patients with optic atrophy.
  • Broadens understanding of risk factors for nutritional optic neuropathy beyond developmental delay and autism.