Autism & Developmental

Initial Ophthalmic Findings in Turkish Children with Autism Spectrum Disorder.

Kabatas et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

One in four Turkish kids with autism also had an eye disease—send every new case for a vision exam.

✓ Read this if BCBAs doing initial intakes or medical case coordination for young children with autism.
✗ Skip if Practitioners who only see older verbal clients with stable medical teams already managing eye care.

01Research in Context

01

What this study did

Doctors in Turkey looked back at eye charts of kids already diagnosed with autism. They counted how many of these children also had eye problems like lazy eye or far-sightedness.

The study was small and only describes what was seen. No new treatment was tested.

02

What they found

Roughly one in every four kids with autism had a clear eye disorder. The doctors say this means vision checks should be routine for new autism diagnoses.

03

How this fits with other research

Gutierrez et al. (1998) first showed that autistic children make extra fast eye jumps in the lab. Utku et al. (2015) now show these same kids also carry real eye diseases in the clinic. The two papers sit side-by-side: one finds brain-level eye movement quirks, the other finds eyeball-level disease.

Caldani et al. (2020) and Ziv et al. (2024) later confirmed the odd eye jumps with newer cameras. None of these lab studies looked for actual eye disease, so they do not clash with Utku’s clinic data—they simply ask a different question.

Doğan et al. (2026) also worked in Turkey and found high feeding issues in autistic kids. Together with Utku’s eye data, the picture is clear: Turkish children with autism often carry extra medical needs beyond the core autism symptoms.

04

Why it matters

If you evaluate a newly diagnosed child, add a pediatric ophthalmology referral to your intake list. A quick vision exam can catch correctable problems that may add to attention or behavior issues. No extra equipment is needed—just a referral slip and a note in the medical file.

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02At a glance

Intervention
not applicable
Design
case series
Sample size
324
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Children with autism spectrum disorders (ASD) frequently have ophthalmologic disorders. Due to poor cooperation with ophthalmological examination, ocular abnormalities in such children may be overlooked. We retrospectively studied the records of 324 patients diagnosed as ASD that underwent ophthalmological examination between January 2011 and November 2014 at Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey. Ophthalmic pathology was noted in 26.9% of patients with ASD, of which 22% had significant refractive errors and 8.6% had strabismus. Comprehensive eye examination by a pediatric ophthalmologist is recommended for all children diagnosed as ASD.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2428-3