• The Journal of pediatrics · Apr 2010

    Comparative Study

    Cortical visual function in preterm infants in the first year.

    • Daniela Ricci, Laura Cesarini, Francesca Gallini, Francesca Serrao, Daniela Leone, Giovanni Baranello, Francesco Cota, Marika Pane, Claudia Brogna, Paola De Rose, Gessica Vasco, Paolo Alfieri, Susanna Staccioli, Domenico M Romeo, Francesca Tinelli, Fernando Molle, Domenico Lepore, Antonio Baldascino, Luca A Ramenghi, Maria Giulia Torrioli, Costantino Romagnoli, Frances Cowan, Janette Atkinson, Giovanni Cioni, and Eugenio Mercuri.
    • Paediatric Neurology Unit, Catholic University, Rome, Italy.
    • J. Pediatr. 2010 Apr 1;156(4):550-5.

    ObjectiveTo assess visual function in low-risk preterm infants at 3, 5, and 12 months corrected age to determine whether the maturation of visual function in the first year is similar to that reported in term-born infants.Study DesignSeventy-five low-risk infants (25.0-30.9 weeks gestation) underwent ophthalmological examinations and a battery of tests (fix and follow, visual fields, acuity, attention at distance, and fixation shift) designed to assess various aspects of visual function at 3, 5, and 12 months corrected age.ResultsThe results were comparable with normative data from term-born infants in all tests but fixation shift, suggesting that maturation of most aspects of visual function is not significantly affected by preterm birth. In contrast, >25% of preterm infants failed the fixation shift test at 3 months, with a higher percentage of failing at 5 and 12 months.ConclusionsThere is a specific profile of early visual behavior in low-risk preterm infants, with a high percentage of infants failing a test that specifically assesses visual attention and provides a measure of cortical processing.Copyright 2010 Mosby, Inc. All rights reserved.

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