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Background: Visual field loss is a common result of cerebrovascular accidents (CVAs), with the location of the vascular incident correlating with the location and extent of visual field loss. Many CVA patients also experience hemi-spatial visual neglect, lacking attention to of one side of space. Those suffering from these conditions may find simple tasks such as reading, self-grooming, and navigating common areas to range from difficult to nearly impossible. Although CVAs are more common in the elderly population, the following presents a case of an infant suffering a CVA shortly after birth. This provides a unique case of a patient facing a diverse set of challenges while in a highly plastic stage of neural development. Case: An 11-month-old female born prematurely with a history of CVA presented for a visual function consult. Her father expressed concern for useful vision in her left eye and was seeking further evaluation and therapeutic options. Examination revealed inattention to the left visual field with no fixation preference toward either eye. Ocular motility was limited in upgaze, but the patient had full motility in both left and right gazes. There was a positive OKN response to 1.6 cycles/deg (~20/400 Snellen equivalent) in each eye. Discussion: An infant suffering field loss faces different challenges than an adult. Techniques to evaluate and treat the patient may be adapted to maximize the patient's visual performance. [ABSTRACT FROM AUTHOR]