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Retinal Structures in Autism Spectrum Disorder: Results from a Case-Control Study.
Fateme Montazeri1, Yin Allison Liu1,2, Parisa Emami-Naeini1
1Tschannen Eye Institute, University of California, Davis, Sacramento, California.
Ophthalmology Science
|September 2, 2025
Summary
Autism spectrum disorder (ASD) is linked to thicker inner retinal layers, particularly the retinal nerve fiber layer, inner plexiform layer, and inner nuclear layer. These retinal changes correlate with specific brain volumes, not cognitive function.
Area of Science:
- Ophthalmology
- Neuroscience
- Genetics
Background:
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
- Retinal structure alterations have been suggested as potential biomarkers in ASD.
- Understanding these ocular changes may provide insights into ASD pathophysiology.
Purpose of the Study:
- To investigate differences in retinal layer thickness in adults with ASD compared to neurotypical controls.
- To explore the correlation between retinal structure variations, cognitive function, and brain volumes in individuals with ASD.
Main Methods:
- A retrospective case-control study utilizing UK Biobank data.
- Optical Coherence Tomography (OCT) was used to segment 9 distinct retinal layers.
- Cognitive function was assessed using standardized tests, and brain imaging data was analyzed.
Main Results:
- Adults with ASD exhibited significantly increased thickness in the inner retina, including the retinal nerve fiber layer (RNFL), inner plexiform layer, and inner nuclear layer (INL).
- No significant correlation was observed between inner retinal thickness and cognitive impairments.
- Associations were found between inner retinal thickness and total brain volume, corpus callosum, hippocampus, and temporal gyrus volumes.
Conclusions:
- The inner retina's structural characteristics may reflect neurodevelopmental aspects of ASD.
- Observed retinal findings correlate with specific brain volumetric measurements, suggesting a potential link.
- These insights could guide future research in ASD diagnostics and therapeutic strategies.

