Grasping behavior does not recover after sight restoration from congenital blindness

We investigated whether early visual input is essential for establishing the ability to use predictions in the control of actions and for perception. To successfully interact with objects, it is necessary to pre-program bodily actions such as grasping movements (feedforward control). Feedforward control requires a model for making predictions, which is typically shaped by previous sensory experience and interaction with the environment.1 Vision is the most crucial sense for establishing such predictions.2,3 We typically rely on visual estimations of the to-be-grasped object’s size and weight in order to scale grip force and hand aperture accordingly.4,5,6 Size-weight expectations play a role also for perception, as evident in the size-weight illusion (SWI), in which the smaller of two equal-weight objects is misjudged to be heavier.7,8 Here, we investigated predictions for action and perception by testing the development of feedforward controlled grasping and of the SWI in young individuals surgically treated for congenital cataracts several years after birth. Surprisingly, what typically developing individuals do easily within the first years of life, namely to adeptly grasp new objects based on visually predicted properties, cataract-treated individuals did not learn after years of visual experience. Contrary, the SWI exhibited significant development. Even though the two tasks differ in substantial ways, these results may suggest a potential dissociation in using visual experience to make predictions about an object’s features for perception or action. What seems a very simple task—picking up small objects—is in truth a highly complex computation that necessitates early structured visual input to develop. •Feedforward control of grasping is impaired in cataract-treated individuals•Adept grasping behavior does not recover months to years after sight is restored•The size-weight illusion emerges comparably fast after sight restoration surgery To adeptly grasp an object, object characteristics such as size and weight have to be predicted. Such predictions are also important for perception. Here, Piller et al. show that early and long-term visual deprivation impairs the development of adept grasping movements but not the illusory misperception of object weight based on size cues.