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Form Perception as a Bridge to Real-World Functional Proficiency

Abstract

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.

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