Children with visual impairment experience the world in a unique way. They may have different reactions to sensory stimuli, have language delays, and may struggle to interpret social cues. In addition, children with visual impairments may exhibit behaviors which are considered atypical. Understanding the developmental aspect of behavior is critical in order to make the distinction between the effect of visual impairment on social skills development and a true behavior issue. Optic Nerve Hypoplasia (ONH), the most prevalent ocular cause of pediatric visual impairment, has neurological components that strongly shape behavior. Using a developmental model, the behavior challenges of children with ONH will be discussed, and suggestions will be provided for parents as to how they can best support their child’s early learning experiences.