Cerebral Vision Impairment (CVI) is the leading cause of sight impairment in children in the UK. It occurs in adults alike, but is often overlooked as a cause for their visual difficulties. CVI can present in different ways, depending on the underlying visual processing dysfunctions. Common difficulties are: Only seeing one thing at a time, unable to control where to look, difficulties with reading and writing, finding going down stairs challenging, and feeling overwhelmed in cluttered or busy environments. Cirta Tooth supports patients, their families and carers to understand their visual impairments and gives advice about specific strategies for each individual.
This page contains information about CVI assessments with an introduction video, an outline of what happens in an assessment and 'Frequently Asked Questions'. If you want to dive deeper into some of the topics, please click here to explore publications on this topic by Cirta Tooth:
Cirta Tooth is an Associate member of CVI Scotland. This charity has developed a website with information for anyone wishing to understand more about CVI. Their website is well worth a visit!
CVI Appointments with Cirta Tooth
Face-to-Face
Cirta Tooth offers face-to-face CVI appointments at:
Cameron Optometry
5 St Vincent Street
Edinburgh EH3 6SW
Online
Online assessments coming soon
Watch this space!
Register your interest
To make enquiries, book an appointment, or register your interest in online assessments, contact Cirta Tooth:
CVI Introduction Video
CVI Assessments




What happens in a CVI assessment?
In the CVI clinic, your visual difficulties are assessed and addressed. You will receive a short ‘triage questionnaire’ prior to booking your appointment in order to make sure that the CVI clinic is the appropriate clinic for assessing and addressing your visual needs and to help us tailor the assessment to your needs and circumstances. This questionnaire will be reviewed by Cirta Tooth. You will subsequently be asked to complete a tailored Question Inventory with more in-depth questions about your visual issues, in order to prepare for the assessment.
The assessment includes further history-taking, visual function tests, an Austin assessment (if applicable) and direct observation. After the appointment you will receive a comprehensive report, which you can share with anyone you wish.
Link to Austin Assessment:
https://www.austinassessment.org/
What is not included in a CVI assessment?
The CVI assessment does not replace a sight test. It is therefore recommended that you attend your regular optometrist for a sight test and address any issues before your CVI assessment if you have not already done so.
CVI is a complex condition which is usually diagnosed by a team of healthcare professionals, including an ophthalmologist. It is not within the scope of the optometrist to diagnose CVI during a CVI assessment.
For a CVI assessment to be beneficial, a formal diagnosis is not required. Children with visual difficulties can be offered strategies specific to their situation and needs, regardless of the severity of these visual difficulties. It has been estimated that about one child in every classroom in mainstream education experiences one or more visual difficulties, related to visual processing. However, not every one of these children goes on to be diagnosed with CVI.
Frequently Asked Questions
Resources
CVI Scotland
CVI Scotland is a web-based charity, developing knowledge and understanding about CVI and providing information for affected people and their families. The website contains a series of bite-size lessons about CVI, blogs from affected people and from professionals, a reading tool, videos about CVI, and much more!
The CVI Society
This society is a registered charity in England and Wales, which provides support to affected people and their families.
Scottish Sensory Centre
This website is primarily for (educational) professionals who support children with CVI
Koninklijke Visio (Royal Dutch Visio)
This is an expertise centre for people with vision impairment, based in The Netherlands.
Visio produced a 10 min video about CVI, explaining the condition using case examples:
What is CVI? The story of Christy, Floris and Bertine (English version)