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Activity and strategy

Adapting Itsy-Bitsy Spider Book for Students with CVI

Tips on adapting books for children with CVI (Cortical Visual Impairment)

In this 5-minute video, Perkins teacher Marguerite Bilm shares tips for creating a book for a child with Cortical Visual Impairment (CVI).  It is for emergent readers who are learning basic tactile discrimination skills, as well as eye gaze.  

Adaptations for a students with CVI include:

  • reducing visual complexity by using minimal detail
  • using high contrast materials in the student’s preferred color (in this case the color red is used)
  • using reflective materials and a flashlight to direct student’s visual attention (such as to the sun when it comes out)


  • construction paper pages
  • mylar gift bag
  • pipe cleaners
  • hot glue
  • kitchen straws

Collage of adapting books for children with CVI

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