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Activity and strategy

Three Bright Red Pom Poms Lined Up in a Row

Learn to create your own book for children with CVI (cortical visual impairment) in Phase 1

This book is one of the examples shared showing how to adapt books for children with cortical visual impairment (CVI).  Please begin by reading the introductory information:

Brightly colored mylar pom poms have long been a favorite visual target of students with CVI. Students who visually function in Phase I and even into Phase II respond well to them and often look very consistently at them.  They come in bright, colorful colors, are often made of mylar reflective material and they are lightweight and easy for small fingers to grab (Note:  watch carefully, pom poms are not child safe!).  

Cover of Three Pom Poms bookPage of pom pom book

Page of pompom bookPage of pompom book

Because this book has 3 well-spaced targets on each page, the student would need to be able to tolerate more than 1 target in an array (high Phase I or into Phase II).  If the print on the red paper makes the array too complex, it can be easily covered using Blocking Techniques.  

Child looking at pompom book

It is easy to make miniature mylar pom poms by breaking apart a full sized Pom Pom and cutting shorter lengths of the mylar strands, binding them into bundles and creating a smaller version of the student’s favored target.  In this book pictured, I used a combination of red and silver strands, but it can easily be created with all red or all yellow, or any color that is preferred by the child.  Any slight movement of the page causes movement of the light weight individual strands of mylar and the reflective quality of the mylar also draws visual attention.  


  • Red inexpensive mylar pom poms that can be taken apart and modified in size; you can often find these at the Dollar Store or you can cut apart and modify a metallic red foil fringe curtain/doorway to create mini pom poms (find at Amazon)
  • Scrunchy pony tail holders, to bind and create the mini pom poms (2 per pom pom)  

Examples of Books

The following are other examples of books I have created for students with CVI:

For more ideas from Diane Sheline, visit Strategy to See.

Collage of pom pom book

shiny fabric on a bar

A Little Breakthrough with this TVI’s Student Who has Complex Needs Including CVI

Colored illustration of animals with alphabet letters A, B, C, D
Activity and strategy

Alphabet Objects


Ideas for Teaching Tracking and other Tactile Skills