Ophthalmological outcomes, visual perception, fine motor precision, and visual-motor integration in children born

Martin Johansson1, Eva Larsson2, Gerd Holmström2

  • 1Department of Women's and Children's Health, Uppsala University, Sweden.

Insights

Subnormal vision in very preterm children at 2.5 and 6.5 years is linked to poorer visual-motor integration (VMI), visual perception, and fine motor skills at age 12. This highlights the impact of early ophthalmological function on neurodevelopment.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Ophthalmology

Background:

  • Preterm birth (<32 weeks gestation) poses risks for neurodevelopmental outcomes.
  • Ophthalmological function is crucial for developing visual perception and motor skills.
  • Longitudinal data on the interplay between early vision and later neurodevelopment in very preterm infants is limited.

Purpose of the Study:

  • To investigate the longitudinal associations between ophthalmological status and the development of visual perception, fine motor precision, and visual-motor integration (VMI) in children born very preterm.
  • To compare these associations with those in term-born controls.

Main Methods:

  • Prospective longitudinal cohort study of 113 very preterm children and term-born controls.
  • Ophthalmological assessments (visual acuity, stereopsis, strabismus) at 2.5, 6.5, and 12 years.
  • Neurodevelopmental assessments (VMI, visual perception, fine motor precision) at 6.5 and 12 years using the Beery-Buktenica Developmental Test of Visual-Motor Integration.

Main Results:

  • Subnormal visual acuity at 2.5 years correlated with poorer VMI and fine motor skills at 12 years in preterm children.
  • Ophthalmological issues (subnormal acuity, strabismus, stereopsis) at 6.5 years were associated with poorer VMI, visuo-perceptual, and fine motor performance at 12 years.
  • These associations were not observed in term-born controls.

Conclusions:

  • Early ophthalmological deficits in very preterm children predict poorer visual-motor and fine motor development later in childhood.
  • The quality of visual input significantly influences the development of visual-motor abilities in this population.
  • Findings offer insights into the relationship between ophthalmological function and neurodevelopmental trajectories following preterm birth.
Abstract

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