Background: Pupillometry is the study of how our eyes react to light. When it gets dark, our pupils expand; when exposed to light, they contract. Aberrations in the size of our pupils and the speed at which they react to light may reveal underlying neurological conditions. However, pupillometry has not been extensively studied in people with Autism Spectrum Disorder (ASD).

What’s New: A new study investigated whether a relationship existed between pupils’ responses to light and autism risk in very young children. The researchers classified 208 infants between the ages of 9 and 10 months as either high risk (having an older sibling with ASD) or low risk (having no older sibling with ASD). They recorded sensory responses using cutting-edge eye-tracking technology while shining a light 16 times towards the infants’ eyes. They followed up at 36 months of age, classifying the children into ASD and non-ASD groups based on their scores on standard screening and diagnostic tools.

The researchers found:

• Children who were ultimately classified into the ASD group experienced greater constriction of the pupils in response to light as infants. This finding was especially pronounced in high-risk infants who developed ASD later on.
• Constriction of the infants’ pupils was also a predictor for ASD symptom severity. Those who experienced the greatest constriction tended to have the most severe symptoms.
• Children who were classified as high risk but not diagnosed with ASD experienced different clinical outcomes than their low-risk peers, including cognitive and motor delays, attention deficits, and hyperactivity.

Why it’s important: This study highlights an autism marker – in both individuals and in families – based on sensory processing and related to the responsiveness of pupils to light in infancy. This finding could shed light on the underlying neurological basis for ASD and may eventually inform treatment approaches.

Autism Profile

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