CVI learning guide

When to suspect CVI

Welcome to the When to Suspect CVI learning guide! These are curated resources from our larger pool of CVI content to help you recognize the signs of CVI. Once you’re familiar with common CVI behaviors, you can learn how CVI is diagnosed, who diagnoses CVI, and next steps. Plus, read about the diagnosis journeys of children and adults with CVI and their families.

Consider CVI

If you or your child experiences visual difficulties or displays unexplained behaviors, it’s important to consider Cerebral/Cortical Visual Impairment, or CVI.

CVI is caused by damage to the brain’s visual pathways or visual processing areas. It is common in neurodevelopmental conditions, and it often co-occurs with cerebral palsy, epilepsy, and developmental delay. Emerging research also shows CVI prevalence in Down syndrome, autism, and rare diseases. Complications from premature birth, lack of oxygen, pediatric stroke, and genetic conditions are common causes of CVI, too. 

For you or your child to be diagnosed with CVI, symptoms must not be explainable by other eye conditions. CVI can also occur with healthy eyes, without any other conditions.

Boy wearing glasses sits in a supportive wheel chair and looks beyond the camera while touching learning materials on a desk.

Some questions to consider if you suspect CVI:

  • How is your child looking?
  • Can your child recognize and find things?
  • How does your child interact with others?
  • Does your child appear tired or get easily overwhelmed?
  • What happens at mealtime?
  • How do they get around?
  • How does your child navigate changes in depth?
  • How does your child engage at school?

Download our shareable PDFs on when to suspect CVI

Diagnosis

Diagnosing CVI can be complex. Brain scanning and eye exams cannot “see” CVI. Some of the symptoms of CVI are similar to other conditions that are more well known. And because many people with CVI have multiple diagnoses, CVI diagnosis is even more nuanced — But not impossible or unnecessary. 

If you know your child isn’t using their vision the way they should, ask the doctor: “Is this CVI?” 

Be familiar with: 

  • Events that can cause damage to the brain’s visual pathways or visual processing areas, which causes CVI. Hydrocephalus, Hypoxic-ischemic encephalopathy (HIE), stroke, and complications from prematurity are just a few.
  • The wide range of genetic conditions and variants, which include Cerebral palsy, epilepsy, rare diseases, and autism.
  • The possibility that CVI can occur without any other conditions present.

CVI is a neurodevelopmental disorder characterized by deficits of visual function and functional vision that are caused by neurologic damage to visual pathways and processing areas in the brain.

Chang, M. & Merabet, L. (2024). “Special Commentary: Cerebral/Cortical Visual Impairment Working Definition.” Ophthalmology, 131, 12, 1359 – 1365.

After diagnosis

A diagnosis of Cerebral/Cortical Visual Impairment is a big step in your or your child’s vision journey, but it’s difficult to know what to do next. Here’s what we suggest:

  1. Process the diagnosis
  2. Talk to your medical provider about: 
    • Referring your child for vision services in early intervention (0-3), school system (3+), college (18+), or adult rehab and vocational programs (18+). 
    • Documenting eligibility for federal quota funds for accessible materials from American Printing House for the Blind (APH) 
  3. Get CVI collaborative assessments.
    • CVI Comprehensive Evaluations, like The Perkins CVI Protocol
    • Ocular Functional Visual Assessment
    • Learning Media Assessment (LMA)
    • Orientation & Mobility Evaluation
    • Therapy Evaluations
    • Clinical Ocular Testing
  4. Start the process of accessible learning.
  5. Learn how to help your child at home.
  6. Know you’re not alone.

Find a doctor

It can be difficult to find a medical provider who is able to evaluate for and diagnose CVI because access to CVI expertise in the medical community is limited. However, The CVI Center at Perkins works with the medical community to raise awareness of CVI, encourage the development of standardized and clinically validated diagnostic tools, and help improve diagnostic rates— because kids with CVI can’t wait. 

Part of that work is a starting place for families (and not an official endorsement): The CVI Doctor Directory This directory is a work in progress. We know there are more medical professionals in each state who know about CVI.

More helpful links for getting a CVI diagnosis

Diagnosis stories

Previously: About CVI

Learn about what CVI is, the common CVI visual behaviors, signs of visual fatigue, what people with CVI might see, and how CVI is evolving.

Boy playing with a sparkler at night

Next: Education & Access

Learn about the current CVI assessments, what accessible learning looks like, communication and CVI, helpful calendar systems, and explore our education hub.