What does CVI look like? We don’t really know. What we do know is that children with Cortical Visual Impairment/Cerebral Visual Impairment (CVI) experience the world differently from us and differently from each other. The way they react to the visual world and operate in the visual world helps us understand what they might see. Each child with CVI is unique, but one thing is true: Processing visual information takes effort. It’s tiring. It can sometimes make even the most talkative, outgoing kid clam up. Take it from Burju Sari, who set out on a family trip to Manhattan with her son, Omer. They were excited to go on vacation, but the crowds and sightseeing quickly became too much for the 10-year-old to handle:
My son, Omer, can read, write and see. Sometimes, it’s hard to remember that he still struggles with CVI. But when we go to new places, his vision becomes inconsistent. Our family went to New York City last year on our summer break, and he couldn’t wait to see the Empire State Building. He’d been reading about it and he was so excited.
We stayed outside the city, so it would be quieter. But we needed to take the subway into Manhattan from New Jersey. Omer was shocked with the subway: the sounds, the smells. We took him onto a car with his pushable chair, and he began putting his head down as we looked out the window, taking photos. He became upset with his brother, asking why he was taking pictures. We showed him what we could see on our phones, and he was amazed.
We struggled with his chair as we left the subway. The elevator didn’t work. We had to carry him up the stairs. It was so loud, and there was so much movement. He put his head down literally the whole time, only listening to us. Finally we said, “Omer, look up! It’s the Empire State Building!’ He looked up, and it was though he wasn’t seeing anything. His brother was saying, ‘Can’t you see this? How can you not see it?’
We were brainstorming about what we could do. We wanted it to be a good experience for him. But he could see the building so much better in books than in real life.
We took the elevator to the top, and he was amazed that there were so many floors. Then he was frozen, with the amount of people. He couldn’t look out the window to look down toward the city.
We went to a restaurant afterward, and he told us he needed to go home to take a nap. He hadn’t taken a nap since he was three! He never admits that he’s tired. He hides it by being talkative and loud. He told us he had a hard time sleeping the night before, but he was really just physically fatigued. Everything was so unexpected for him; the whole day, he hardly spoke a single word.
Next time, we’ll explore a quieter part of the city. I’ll bring noise-canceling headphones. And I’ll remind him that it’s OK to be tired. I’ll normalize it.
Here are some things to keep in mind:
- What your child sees and perceives depends on many factors, including where his brain injury happened. Kids with CVI have a vast array of visual capabilities.
- It has been reported that some children with CVI may see the world like a kaleidoscope: a swirling mass of color that doesn’t have meaning or recognition. Over time, your child might recognize certain familiar objects. Out of context, they don’t make sense. For example, he might recognize a red spoon at home and know what it does, but not recognize a similar spoon in a cluttered restaurant. Context matters.
- Your child might experience an object or social situation completely different from the way his friend with CVI might. Think about a clown holding a balloon. One child might be captivated by the balloon itself due to its color or movement. Another child might pick up on some auditory cues and laugh because they hear others laughing, but not notice the clown’s face. Another child might be completely overwhelmed and cry. It also depends on personality and past experiences.
- He might get tired, become overwhelmed, or visually disengage. Some children may experience meltdowns, which is natural.
Watch Nicola McDowell, a senior tutor in the Institute of Education at Massey University in New Zealand, discuss her CVI journey:
Connect with moms, dads and families who have children with CVI. Visit our CVI Now Parent Facebook group.