Most people confuse the concept of vision. When there is no refractive error and no significant deficit in visual acuity measurement then the sensory organ for vision is assumed to be normal. However children with ASD face many challenges like poor eye contact, lack of social interaction, altered behaviour with the kith and kin’s and finally with the society at large. Paucity in a structured autism specific diagnostic and interventional service puts a lot of stress on the families with children on the ASD, in India, and abroad

Secondly looking into the various interventional therapies offered for children on the autism spectrum, most of the services are structured to handle all special children alike and the interventions are targeted to improve the proprioceptive (i.e., muscles and joints), vestibular (i.e., gravity and movement), and tactile (i.e., touch) systems as it is believed that they are the largest sensory system, most interconnected with other systems and the most utilised [Richard et al. 2008]. Global developmental therapies provided for children with autism spectrum disorder does not address specific deficiencies and difficulties and there are hardly any quantifiable feedback system designed, implemented and documented

Any intervention targeting children with ASD should be aimed at achieving specific developmental, behavioural and educational goals [Thomas KC et al, 2007]. A standardised protocol that measures each and every aspect of vision and visual perceptual skills is not available in our country. Having  understood the nuances behind the functioning of the eyes, meticulously determining and defining the deficit and working on specific deficits and finally integrating all the visual skills becomes the need of the hour and hardly any practitioner seems to be even aware of this concept.

As literature is devoid of standardised diagnostic protocols and therapeutic interventional methods with a quantitative feedback report a Vision Integration Trial for autism needs to be developed and implemented.