We investigated the relationship between visual experience and pragmatic development by testing the socio-communicative skills of a unique population: the Prakash children of India, who received treatment for congenital cataracts after years of visual deprivation. Using two different referential communication tasks, our study investigated Prakash' children ability to produce sufficiently informative referential expressions (e.g., ‘the green pear' or ‘the small plate') and pay attention to their interlocutor's face during the task (Experiment 1), as well as their ability to recognize a speaker's referential intent through non-verbal cues such as head turning and pointing (Experiment 2). Our results show that Prakash children have strong pragmatic skills, but do not look at their interlocutor's face as often as neurotypical children do. However, longitudinal analyses revealed an increase in face fixations, suggesting that over time, Prakash children come to utilize their improved visual skills for efficient referential communication.

Early visual deprivation is known to have profound consequences on the subsequent development of spatial visual processing. However, its impact on temporal processing is not well characterized. We have examined spatial and temporal contrast sensitivity functions following treatment for early and extended bilateral visual deprivation in fifteen children born with congenital cataracts in rural India. The results reveal a marked difference in post-treatment spatial and temporal sensitivities. Whereas spatial processing in newly sighted children is significantly impaired relative to age-matched controls, temporal processing exhibits remarkable resilience and is comparable to that in the control group. This difference in spatial and temporal outcomes is especially surprising given our computational analyses of video sequences which indicate a strong linkage between the spatial and temporal spectral content of natural visual inputs. We consider possible explanations for this discrepancy.

Recognizing the limitations of standard vision assessments in capturing the real-world capabilities of individuals with low vision, we investigated the potential of the Seguin Form Board Test (SFBT), a widely-used intelligence assessment employing a visuo-haptic shape-fitting task, as an estimator of vision's practical utility. We present findings from 23 children from India, who underwent treatment for congenital bilateral dense cataracts, and 21 control participants. To assess the development of functional visual ability, we conducted the SFBT and the standard measure of visual acuity, before and longitudinally after treatment. We observed a dissociation in the development of shape-fitting and visual acuity. Improvements of patients' shape-fitting preceded enhancements in their visual acuity after surgery and emerged even with acuity worse than that of control participants. Our findings highlight the importance of incorporating multi-modal and cognitive aspects into evaluations of visual proficiency in low-vision conditions, to better reflect vision's impact on daily activities.