Assessment & Research

An MRI study of minor physical anomalies in autism.

Hardan et al. (2006) · Journal of autism and developmental disorders 2006
★ The Verdict

Close-set eyes on MRI do not mark all autism—only the lower-IQ slice.

✓ Read this if BCBAs who do intake assessments for kids with ASD.
✗ Skip if Clinicians only treating high-IQ autistic teens.

01Research in Context

01

What this study did

Hardan et al. (2006) took brain scans of kids with autism and kids without.

They measured the space between the eye sockets on each scan.

They also split the autism group by IQ to see if that changed the picture.

02

What they found

Across the whole autism group, eye-space size looked the same as in controls.

Only the lower-IQ autism kids had clearly closer eyes on the scans.

So close-set eyes are not a blanket autism marker; IQ level matters.

03

How this fits with other research

Handleman et al. (1980) first linked more minor body anomalies and lower IQ in autism.

Hardan et al. (2006) now show the same link with MRI eye-space, updating the 1980 clue.

Angkustsiri et al. (2011) used photos and also found a dysmorphic autism subgroup with more medical issues.

Ozgen et al. (2011) counted 48 small body differences in autism, backing the wider anomaly idea.

04

Why it matters

If you assess a child with autism and notice close-set eyes, think lower IQ and plan fuller medical screening. Do not use eye spacing alone to flag autism; it only signals risk in kids who already test low on cognitive scores.

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→ Action — try this Monday

Add eye-spacing check to your visual scan, and when you see it, schedule a cognitive re-test and medical referral.

02At a glance

Intervention
not applicable
Design
case control
Sample size
40
Population
autism spectrum disorder
Finding
null

03Original abstract

The objective of this investigation was to examine the existence of minor physical anomalies (MPA) in autism. The interorbital and interlens distances were measured on MRI scans obtained from a sample of 40 non-mentally retarded individuals with autism and 41 healthy controls. No differences were observed between the two groups on any measurements. However, when the analysis was conducted using a split median procedure, individuals with autism and either low FSIQ, PIQ, or VIQ had shorter interorbital distances when compared to controls. Hypotelorism is a MPA that may be present in a subgroup of individuals with autism. Additional research is warranted using large sample sizes with a wide range of intellectual functioning.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0103-4