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Using the Visual World Paradigm to Study Sentence Comprehension in Mandarin-Speaking Children with Autism
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Eye Movements During Sentence Processing in High-functioning Autistic Children Compared to Neurotypical Peers: An Eye
Faezeh Dehghan1, Mehdi Alizadeh Zarei2, Reza Khosro Abadi3
1Department of Neuroscience, School of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Basic and Clinical Neuroscience
|July 18, 2025
Summary
Children with autism spectrum disorder (ASD) exhibit distinct reading eye movement patterns. They demonstrate shorter saccade amplitudes and increased fixation durations, impacting reading efficiency.
Area of Science:
- Neurodevelopmental disorders
- Ophthalmology
- Cognitive Science
Background:
- Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social interaction and communication.
- Reading quality is significantly influenced by eye movement patterns during visual processing.
- Understanding these patterns in children with ASD is crucial for developing targeted interventions.
Purpose of the Study:
- To compare the eye movement patterns of children with ASD during sentence reading with those of neurotypical children.
- To investigate differences in eye fixation time and saccade movements between the two groups.
Main Methods:
- Utilized an eye-tracking device to record eye movement parameters during a sentence reading task.
- Compared saccade movement and eye fixation metrics between a group of 15 children with ASD and 17 neurotypical children.
- Participants' mean age was approximately 102 months for both groups.
Main Results:
- Children with ASD exhibited significantly lower saccade amplitudes (P=0.02) during sentence reading.
- A higher number of fixations were required for children with ASD to read words within a sentence (P=0.02).
- Total reading time for sentences was significantly longer in children with ASD compared to neurotypical peers (P=0.02).
Conclusions:
- Altered sensorimotor processes, potentially involving the dorsal visual pathway and cerebellum, may underlie the observed eye movement differences in children with ASD.
- These oculomotor control differences can significantly affect reading quality in children with autism spectrum disorder.
- Further research into the neural underpinnings of eye movement control in ASD is warranted.

