Retinal Imaging and OCT Observations in Children Exposed to Opioid Maintenance Therapy During Pregnancy - Report - MDSpire
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Retinal Imaging and OCT Observations in Children Exposed to Opioid Maintenance Therapy During Pregnancy

  • By

  • Olav H. Haugen

  • John-Thomas Michelet

  • Anne Kathinka Aslaksen

  • Gro Horgen

  • Jon Skranes

  • November 13, 2025

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Retinal Imaging and OCT Observations in Children Exposed to OMT During Pregnancy

Overview

This study investigates the retinal structure in children prenatally exposed to opioid maintenance therapy (OMT) using optical coherence tomography (OCT). Findings indicate potential alterations in the optic nerve head and macular region, highlighting the need for further exploration of visual outcomes in this population.

Background

Optical coherence tomography (OCT) has transformed the diagnosis of retinal diseases, allowing for detailed visualization of retinal structures. Understanding the impact of prenatal exposures, such as opioid maintenance therapy, on retinal development is crucial, especially given the increasing prevalence of opioid use during pregnancy. This study aims to fill a gap in the literature regarding the effects of OMT on retinal health in children.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Children exposed to OMT during pregnancy exhibited a higher prevalence of strabismus and nystagmus.
  • Reduced visual acuity and lower accommodation amplitude were noted in OMT-exposed children compared to controls.
  • Previous studies have shown thinning of the retinal nerve fiber layer (RNFL) in preterm children, which may relate to prenatal exposures.
  • OCT findings in OMT-exposed children have not been previously reported, indicating a novel area of research.
  • The endogenous opioid system plays a significant role in fetal brain development, which may be affected by exogenous opioid exposure.

Clinical Implications

Healthcare providers should be aware of the potential visual and neurological impacts of prenatal opioid exposure on children. Regular ophthalmic assessments may be warranted for children with such exposures to monitor for developmental issues.

Conclusion

The study underscores the importance of investigating retinal health in children exposed to OMT during pregnancy, suggesting that OCT may reveal significant structural changes that warrant further clinical attention.

Related Resources & Content

  1. Ophthalmology Management, 2017 -- In pregnancy, the retina ‘works’ for two
  2. Ophthalmology Management, 2012 -- Retina Roundup
  3. Optometric Management, 2024 -- Identifying diabetic retinopathy biomarkers with OCT
  4. Obstetrics & Gynecology, 2025 -- Clinical practice update on opioid use disorder
  5. PubMed -- Instrument-based vision screening and outcomes in young children following prenatal exposure to buprenorphine or methadone
  6. Ophthalmology Management — Retina Roundup
  7. Obstetrics & Gynecology
  8. Instrument-based vision screening and outcomes in young children following prenatal exposure to buprenorphine or methadone: a retrospective cohort study - PubMed
  9. Ultra-Widefield Optical Coherence Tomography... : JAMA Ophthalmology

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