Prolonged visual deprivation from early childhood to maturity is believed to cause permanent visual impairment. However, there have been case reports of substantial improvement of binocular vision in human adults following lifelong visual impairment or deprivation. These observations, together with recent findings of adult ocular dominance plasticity in rodents, led us to re-examine whether adult primary visual cortex (V1) is capable of any recovery following long-term monocular deprivation starting in development. Using mice as a model, we find that monocular deprivation from early development to mature ages (well past the critical period) severely impaired binocular vision by reducing the amplitude of responses elicited by stimulation of the deprived eye. Surprisingly, we find little effect on nondeprived eye responses. Restoration of binocular vision in mature adults yields modest but significant improvement of visual responses in V1. Remarkably, we find that when binocular vision is followed by occlusion of the nondeprived eye, visual responses in V1 recover almost fully, as measured by visual evoked potential amplitude, spatial frequency threshold, and single-unit activity. We conclude that adult V1 can recover from long-term deprivation when provided with an optimal regimen of visual experience.In comparison to the brain of children, the adult brain is thought to have a more limited capacity for regeneration and repair. One example of the decline of plasticity with age is the effect of monocular deprivation (MD). Classical electrophysiological studies found that early in life even a brief period of MD caused the visual cortex to respond very poorly to the deprived eye (in cats: Wiesel and Hubel 1963;Hubel and Wiesel 1970;Olson and Freeman 1975;Freeman and Olson 1982; in monkeys: Blakemore et al. 1978 in monkeys: Blakemore et al. , 1981 in rodents: Fagiolini et al. 1994;Gordon and Stryker 1996). Restoration of vision to the deprived eye can reverse the effect of MD only if the deprivation was brief. No recovery was observed after prolonged deprivation spanning a critical period of development (in cats: Wiesel and Hubel 1965;Hubel and Wiesel 1970;Blakemore and Van Sluyters 1974; in monkeys: Blakemore et al. 1978). These studies gave rise to the concept that disorders of central circuit development must be diagnosed and treated very early in childhood.Yet the adult brain appears to be more resilient and plastic than previously believed. A growing number of studies have found morphological and functional changes in motor and sensory neocortex as a result of altered experience or injury in adulthood (Merzenich et al. 1984;Jenkins et al. 1990;Allard et al. 1991;Fox 1992Fox , 1994Skibinska et al. 2000;Qi et al. 2000;Kaas and Qi 2004). Even in V1, our laboratory and others have found that ocular dominance (OD) plasticity exists in adult mice and rats (Guire et al. 1999;Sawtell et al. 2003;Pham et al. 2004;Lickey et al. 2004;Tagawa et al. 2005;Hofer et al. 2006;Fischer et al. 2007). These findings suggest the p...