Research into sighted children's reading shows that letter recognition skill predicts phonological awareness skill. Congenitally-blind children do not receive exposure to environmental print and do not generally learn to recognise written letters of the alphabet prior to schooling in Braille. A cross-sectional analysis revealed that blind children with no knowledge of written letters or written words showed no ability at measures of phonological awareness. Blind children with knowledge of written letters and no written words showed much increased phonological awareness scores and blind children with knowledge of written letters and written words scored higher still on phonological awareness measures. It was concluded that letter learning is a major contributor to the development of phonological awareness in blind children. It suggests key similarities in the underlying processes of reading development across two different populations using different modalities to learn to read.Recent literature on children's early literacy development stresses the important role of pre-school print experience. It has been shown that higher levels of print exposure, letter knowledge and phonological sensitivity at pre-school are strong predictors of later success at reading. Gallagher, Frith and Snowling (2000) provide a review. Such findings, however, have a significant implication for children who do not receive such pre-school literacy exposure. One such population of children is totally and congenitally-blind children. They only experience written language when it is taught to them, in the form of Braille, once they begin school (Chapman & Stone, 1988). For example, the sighted child at age five can recognise a number of letters (an average of 15 letters according to Treiman and Rodriguez, 1999) whereas the preschool blind child knows none.Once at school, blind children are taught to read in a more structured and systematic manner than sighted children. The initial focus is very much on learning Braille letters of the alphabet. Each Braille letter is made up from a raised 263 dot matrix. Distinguishing between each letter requires tactile discrimination and