Related Experiment Video
Updated: Jun 27, 2025

Development of a Gaze-Contingent Display Framework Designed for Perceptual and Oculomotor Research with Simulated Central Vision Loss
Published on: April 11, 2025
Yoked prisms and cerebral visual impairment: Enhancing the experience of ambient vision
Sahithya Bhaskaran1, Sneha Pandurangan1, Vijayalakshmi Perumalsamy1
1Department of Paediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Insights
Yoked prisms effectively address perceptual vision disorders in children with cerebral visual impairment. These prisms improve exploration, hand-eye coordination, and obstacle negotiation, aiding rehabilitation.
Area of Science:
- Ophthalmology and Neuroscience
- Pediatric Rehabilitation
Background:
- Cerebral visual impairment (CVI) in children often results in perceptual visual impairment, affecting functional vision.
- Yoked prisms are utilized in vision therapy and neurorehabilitation for conditions like autism, visual neglect, and hemianopia, particularly for perceptual visual problems.
Observation:
- Case studies demonstrate the application of 4-PD base-down yoked prisms in children with CVI-related perceptual vision disorders.
- Improvements were observed in environmental exploration, grasp, obstacle negotiation, and hand-eye coordination.
Findings:
- Yoked prisms facilitated spontaneous exploration and improved grasp in a child with periventricular leukomalacia.
- Prism use enhanced downstairs climbing and obstacle negotiation in a child with CVI, potentially addressing inferior field awareness or optic ataxia.
- Improved hand-eye coordination was noted in a child with CVI using yoked prisms for closer object focus.
Implications:
- Yoked prisms offer a simple yet effective intervention for perceptual visual problems in children with CVI.
- This approach can positively impact functional vision, motor skills, and spatial awareness in pediatric neurorehabilitation.
Background:
Perceptual visual impairment leads to impaired functional vision in children with cerebral visual impairment. Yoked prisms have been used in behavioral vision therapy for children with autism (dysfunctional dorsal visual processing pathway) and in neurorehabilitation to treat visual neglect, hemianopia, and abnormal egocentric localization. In particular, they are employed for treating perceptual visual problems.
Purpose:
To share our experience in implementing yoked prisms and their impact on the rehabilitation of children with cerebral visual impairment-related perceptual vision disorders.
Synopsis:
The first child with periventricular leukomalacia exhibits no eagerness to explore her new environment along with poor grasp. With 4-PD base-down prisms, she explores her surroundings and appreciates her lateral supports. Her grasp improved as well. The second child with cerebral visual impairment exhibits difficulty in climbing downstairs with poor obstacle negotiation. This could be due to impaired inferior field awareness or optic ataxia. With 4-PD base-down prisms, the field shift toward the apex helps him to climb downstairs without difficulty with an improved obstacle negotiation. The third child prefers a closer look at the object of interest along with poor hand-eye coordination. We employed 4-PD base-down prisms in her rehabilitation session. She showed good improvement in her hand-eye coordination.
Highlights:
Poor hand-eye coordination, difficulty climbing downstairs, optic ataxia, impaired field awareness, and triggering spontaneous exploration in children with perceptual visual problems can be effectively tackled by the simple incorporation of yoked prisms.
Video Link:
https://youtu.be/BW3cwiGDTLY.
Related Concept Videos
Vision
Photoreceptors and Visual Pathways
Depth Perception and Spatial Vision
Visual System
Once through the pupil, the light passes through the lens, a...
Color Vision
Anatomy of the Eyeball

