period of visual immaturity
The period of visual immaturity is the stage of early life during which the retinocortical connections are not yet firmly established and can be modified by the quantity or quality of visual input. The same phase is called the sensitive, critical or susceptible period, and once the visual system matures, abnormal visual experience no longer changes its function.1
The most critical period for loss of binocularity and for the development of amblyopia is the first 18 months of life. Plasticity then falls, quickly at first and then gradually, but the visual system remains sensitive to about 6 to 8 years of age, possibly to 10.2 Different visual functions have different sensitive periods, and those for cortical functions last longer than those for retinal functions.1,2
Amblyopia, suppression and anomalous retinal correspondence develop only in the immature visual system.3 The sensitive period for suppression appears to end after age 8 or 9 years, close to that for amblyopia, but suppression may persist throughout life once it develops. The capacity to develop anomalous retinal correspondence appears to extend into the early teens.3
More detail
Three sensitive periods apply to amblyopia, and they differ. The capacity to develop strabismic amblyopia extends to the seventh year of life, treated amblyopia may recur into the early teens, and recovery is generally agreed to end with the eighth year.1
Individual variability marks all of these periods. Partial or even full recovery of acuity can also occur in adults with strabismic amblyopia after loss of vision in the normal eye.1
Sources (9)
- von Noorden and Campos, Binocular Vision and Ocular Motility, ch. 14
- Pickwell's Binocular Vision Anomalies, ch. 13
- von Noorden and Campos, Binocular Vision and Ocular Motility, ch. 13
- Birch, E.E. 2013. Amblyopia and binocular vision. Progress in Retinal and Eye Research, 33, pp.67-84.
- Daw, N.W. 1998. Critical periods and amblyopia. Archives of Ophthalmology, 116(4), pp.502-505.
- Levi, D.M., Knill, D.C. and Bavelier, D. 2015. Stereopsis and amblyopia: a mini-review. Vision Research, 114, pp.17-30.
- Rutstein, R. and Daum, K. 1997. Anomalies of Binocular Vision: Diagnosis & Management. St. Louis: Mosby.
- Von Noorden, G.K. and Campos, E.C. 2002. Binocular vision and ocular motility: theory and management of strabismus. 6th ed. St. Louis: Mosby.
- Wong, A.M. 2012. New concepts concerning the neural mechanisms of amblyopia and their clinical implications. Canadian Journal of Ophthalmology, 47(5), pp.399-409.
Reviewed October 2026
Related terms
Nearby in the glossary
- paresis of accommodation
- penalization
- Percival’s criterion
- period of visual immaturity
- peripheral fusion
- photochromic lens
- photophobia