This article reports on a study of the methods that 21 ophthalmologists used to assess the visual acuity of children with multiple impairments and the difficulties they encountered. Additional means of assessing visual function and alternative means of communicating the results are suggested. (Author/DB)

This study found that, of 18 children with severe visual and multiple impairments assessed using the Acuity Card Procedure (originally developed for assessing the visual acuity of infants), 42 percent responded. A similar group received a simple instructional intervention prior to testing and that group's response rate was 85 percent. (Author/DB)

The visual acuity of 8 children, aged 2-7, with low vision and multiple handicaps was effectively tested using the Teller Acuity Cards and a preferential-looking procedure with operant modification. This inexpensive procedure was found to be suitable for at-home testing by itinerant vision specialists in developing countries or rural areas. (DB)

This article describes addition of a "learn a routine" procedure to functional visual assessments of children with severe neurological and physical disabilities. The procedure capitalizes on the child's interest of the moment and provides information on the child's patterns of responses, ability to accommodate to variations of a stimulus, and…