Could Your Child’s Lack Of Eye Contact Be More Than Just Autism?


My son has autism spectrum disorder. That no doubt explains a lot about the picture of him above. Lack of eye contact is considered a classic sign of autism and it was indeed one of the first signs picked up in Isaac from a very young age.

What wasn’t picked up was the fact his lack of eye contact was much MORE than just autism and in fact was due to something much more worrying: as well as being autistic my son is also visually impaired.

His autism was diagnosed at age 3 and yet it took until age 8 for professionals to realise how poor his eyesight is.

This angers me as had he not been displaying other signs of autism such as communication difficulties, social challenges and repetitive behaviours, health professionals would have actually looked at his eyesight much earlier.

At age 4 he was diagnosed with the genetic condition neurofibromatosis type 1. It is widely known that this can lead to eye sight problems yet still no-one seemed to take my concerns about my sons eyes seriously.

img_0217At age 2 he would sit like this and look closely at a cushion for hours. I told his paediatrician, I told our family doctor, I told our health visitor…everyone told me it was ‘sensory’ and probably due to his autism. I foolishly believed them.

A few years later I recall taking a video of him in the garden. He was walking up and down the bushes in the garden feeling them as he walked repetitively back and forth in a straight line. I showed that video to so many people. I knew something wasn’t right but all everyone said is ‘that is autism’, or ‘that is sensory’. My non verbal child was feeling the bushes because he could not see yet no-one noticed. That is heartbreaking.

img_0282I needed answers. We began attending an eye clinic where they were more concerned about training him to look at cards and spent years putting drops in his eyes. The specialist struggled because my child would meltdown and cry at every appointment so they just kept asking us to come back. Finally at age 6 he was given glasses…only 18 months later to find they were the complete opposite prescription to what he needed!

At age 7, after a huge fight, Isaac had an MRI and we received some concrete answers.

His lack of eye contact, his looking at items closely, his feeling of everything…was not JUST his autism…he actually had three separate and serious eye conditions.

My son DOES have autism. He also has Microphthalmia (small eye) and persistent hyper-plastic primary vitreous (PHPV) leading to loss of sight on his right eye and his left eye has an optic glioma (tumour) on his optic nerve!

What is the point of me saying all this? I am NOT out for sympathy. That does not help my child in any way. What I want this post to do is to make people aware that when professionals say ‘that is just autism’ it may NOT be. When it comes to poor eye contact autism is one of the first things professionals look at. But is is NOT the only reason a child may have poor eye contact.

Be aware. It may not be easy to do but despite the challenges it is worth getting your child’s eyesight tested.

Your child’s lack of eye contact could well just be caused by autism but it is always best to know for definite.

I wish we had realised that sooner.


11 thoughts on “Could Your Child’s Lack Of Eye Contact Be More Than Just Autism?

  1. I found this really interesting.
    My girl loses her vision, can’t see faces well, has blurred and double vision that fluctuates. For years the Paeds said it was sensory overload but then she got diagnosed with Cortical Visual Impairment.
    No where near as serious as your little chap, but it does illustrate how much the Drs assume. X

    Liked by 2 people

  2. I’m so glad that you are sharing your experience. It is so important to get this information out there. So much can be overlooked once a diagnosis is given. Good for you for being such a strong advocate for your son!

    Liked by 2 people

  3. I’m so cross on your behalf … it seems that once someone has a primary diagnosis whether it is Autism; hypermobility or even dementia the ‘professionals’ seem to want to blame this for just about any other possible medical problem.
    Bad cough? Sore knee? Crooked teeth ? (I am being tongue in cheek now) …. blame the longstanding diagnosis. Grrr.

    As a parent if you believe there is something else going on fight for your child (as you did Miriam)

    Liked by 2 people

  4. Reading this I felt so frustrated for you and also wanted to say please don’t say you were foolish – far from it!! You asked and asked and what seems to happen when our children have a label professionals then want to blame everything on the label! Great you highlight as we parents can sometimes feel guilt about always searching for more problems in our child but we are not searching we are intuitive and must shed that guilt and keep pushing for help when we think they need it. I hope he gets the right help so his eye condition can be managed x

    Liked by 1 person

  5. I have NF and serious issues (No not a optic glioma another tumor). The most important thing is early intervention for the vision autism comes next. I live in america so I do not know how your blokes do special ed across the pond. I had early intervention as a 3 year old. i also have autism and many “autism issues” are due to vision loss or hearing loss not being diagnosed in the child with autism regardless if that child has a tumor disorder or not.

    Liked by 1 person

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s