Segmenting images is critical for visual understanding but demands extensive pixel-level annotations. Foundational models have enabled new paradigms for predicting new classes guided by textual prompts, without annotations from the target domain. Yet, on specialized target domains, far from the original pre-training, their performance degrades. We study the errors of existing methods under such domain-shift, finding that misclassification rather than mask generation is the main culprit. To address this, we introduce the novel problem of Few-Shot Visual Adaptation for text-prompted Segmentation. This kind of adaptation has been largely studied for image classification, but it remains unexplored for segmentation. We tackle this task with Prototype Adaptation (PrAda), a novel, parameter-efficient method that adapts a frozen text-prompted segmentation model. Our approach learns class-specific prototypes by combining fine-grained pixel features and high-level transformer representations, which are then fused with the original text-based predictions through a learned importance factor. This preserves the model's zero-shot potential while enabling strong adaptation to new domains. Experiments across semantic, instance, and panoptic segmentation on five benchmarks demonstrate that PrAda yields significant improvements over state-of-the-art and proposed baselines.