Reading Strategies in Children with Cerebral Visual Impairment caused by Periventricular Leukomalacia

Four children with cerebral visual impairment caused by periventricular leukomalacia were followed in an ethnographic clinical case study for two years during their process of learning to read in mainstream classes. When compared to children with ocular visual impairment, children with cerebral visual impairment often exhibit an uneven cognitive profile with visuo-spatial deficits but good verbal capacities. One main problem for children with deficits due to periventricular leukomalacia is decreased visual acuity with crowding, that is, an inability to identify symbols in a line, while single symbols of the same size may be identified. A question addressed in the study is what kind of strategies does the child with "crowding" problems develop in reading long words in print. Could Braille, as a sequential reading medium, be an alternative for the child with simultaneous visual problems? Two children were offered both Braille and print reading as reading media, one of whom preferred Braille after two years of training. The other two children read ordinary print without any special teaching. After two years, considerable differences in reading acquisition and reading strategies could be detected among the four children. No single factor seemed to account for the differences. Individual factors as well as teaching methods could be reasons for the differences.