In this study, we used growth curve analysis based on 566 assessments
with the Battelle Developmental Inventory (BDI) to describe the develo
pment of 186 children (ages 12-73 months) with vision impairments. Dev
elopmental patterns varied markedly among the children, with part of t
hat variability related to co-occurring disabilities and amount of fun
ctional vision. Children with co-occurring disabilities-in this case,
mental retardation or developmental delay (MR/DD)-had lower developmen
tal age scores overall and slower rates of growth. Visual function of
20/800 or worse was associated with significantly lower developmental
ages across time on all domains measured by the BDI (personal-social,
adaptive, motor, cognition, and communication) and with slower rates o
f growth in the personal-social and motor domains. Amount of functiona
l vision and MR/DD did not interact, indicating that these 2 factors h
ad additive, not multiplicative, effects on development during early c
hildhood.