This case study describes a child with congenital cataracts who underwent multiple surgeries and treatments over several years. By age 11, the child had developed severe vision loss with only light perception vision in the right eye and 20/200 vision in the left eye. Visual field loss progressed significantly over time. Low vision recommendations evolved from stand magnifiers and telescopes to focus on braille, audiobooks, screen reading software, and closed circuit television to help the child continue their education despite declining vision.