Thyroid hormones (TH) are essential for somatic and neural development. Epi
demiological studies have pointed to TH-dependent craniofacial features occ
urring during development. In an attempt to elucidate the precise role of T
H in the developing eyes and adnexa (orbit, lids, nasolacrimal structures),
we analysed the craniofacial and eyeball developmental characteristics in
a rat model of congenital-neonatal hypothyroidism (HG), induced by combined
chemical-surgical thyroidectomy. The heads and eyeballs from control and H
G animals were obtained at key developmental stages and processed for scann
ing electron, light and transmission electron microscopy. On embryological
day 13 (E13), significantly reduced values for head parameters (25% less),
optic primordia area (0.053 +/- 0.0085 vs. 0.111 +/- 0.012 mum(2); p < 0.05
) and volume (3.96 +/- 0.141 vs. 8.09 +/- 0.123 mum(3); p < 0.05) were foun
d in the HG with respect to the controls. In addition, a delayed prenatal e
ye closure and postnatal eye opening took place in the treated rats. The ph
otoreceptor and ganglion cell layer thickness displayed significantly lower
values (p < 0.001) in HG, at each developmental time point. Postnatally, a
delay in photoreceptor outer segment morphogenesis (in relation to retarde
d disc formation) and significantly lower values for ganglion cell nuclear
volumes (p < 0.001) and nuclear pore density (p < 0.01) were observed in th
e TH-deficient animals. All data suggest that TH play a pivotal role in the
development of the face and eye. Therefore, a series of defects due to a l
oss of TH actions involved in anterior-posterior development of the head an
d face and the loss of TH-dependent signals crucial for cell differentiatio
n, migration, proliferation and establishment of definitive cell phenotypes
in the eyes may appear. Gestational and neonatal screenings for thyroid fu
nctioning are suggested to paediatricians and ophthalmologists in order to
prevent craniofacial malformations and visual abnormalities. Copyright (C)
2001 S. Karger AG, Basel.