Braille is a tactile system that enables people with severe visual impairments to become literate, i.e. independent in writing and reading. Braille literacy allows people with severe visual impairment access to educational programs, employment, and equal participation in the community. Despite the great importance of Braille, a decline in its use has been evident in the last three decades. Various factors that influence the decline in the use of Braille are mentioned in literature. The lack of Braille materials is most often mentioned as one of the factors which makes it difficult to adopt Braille and consequently affects the later use of it. The lack of experts for teaching Braille and their competence, that is, the lack of competence of experts, also adversely affects the teaching and adoption, and therefore the use of Braille. Furthermore, due to advances in technology, an increasing number of visually impaired people rely on the use of assistive technology rather than the use of Braille. Incorrect perceptions and negative attitudes of teachers towards Braille reflect negatively on the self-confidence of visually impaired students regarding their competences and their adoption of Braille. Additional influential difficulties that occur more and more frequently with visual impairment affect the user's overall functioning, including literacy, that is, they make it difficult to adopt and use Braille. In addition, due to the progress of medicine, there are significant changes in the population of visually impaired people, which are also reflected in the decline in the use of Braille. There is a decreasing number of children with visual impairment. On the other hand, due to the aging of the population, the number of visually impaired adults and elderly people is increasing, but due to negative attitudes and stigmas toward Braille, they often refuse to adopt and use it. Most of the stated causes of the decline in the use of Braille can be reduced or overcome in some way, and due to the importance of Braille, the rehabilitation of visually impaired people should be devoted to teaching the use of this letter in accordance with the needs and capabilities of the user.