convergence insufficiency treatment

American Academy of Ophthalmology, Eye Wiki [internet]. But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability.Treatment, which can take place in the office of a trained therapist or at your home, might include: 1. If our eyes do not converge sufficiently, we may have difficulty reading and even experience double vision. Normal Development of Convergence Skill . Granet DB, Gomi CF, Ventura R, Miller-Scholte A. The patient starts off drawing the pencil closer to the nose. A program of vision therapy may be needed to improve eye coordination abilities, reduce symptoms, and alleviate discomfort when doing close work.. The convergence insufficiency treatment trial: design, methods, and baseline data. With CI, the eyes do not point together inward as one looks at objects close-up. Arch Ophthalmol. Ways to treat Convergence Insufficiency include prism readers and vision therapy. Convergence insufficiency is not usually detected on regular vision screenings. doi:10.1371/journal.pone.0211039. Patients who only did at-home vision therapy did not experience a decrease in their symptoms. Convergence describes the way our eyes move together and point inward when we look at near objects. Barnhardt C, Cotter SA, Mitchell GL, Scheiman M, Kulp MT. NEW: Convergence Insufficiency Treatment Trial - Attention and Reading Study (CITT-ART) Participants Needed for new CITT-ART study. What is convergence insufficiency (CI)? The study found that in-office Vision Therapy was the best available treatment for convergence insufficiency, replacing conventional therapies such as "pencil push-ups", with 75% of patients showing significant improvement following vision therapy. The goal is to keep the letter clear and single with no double vision. Convergence Insufficiency - Testing, Diagnosis, and Treatment Adequate testing and diagnosis for Convergence Insufficiency is not widely available. Convergence exercises (ie, orthoptics, vision therapy) and/or base-in prisms are the mainstays of treatment for convergence insufficiency. Nelson: Today we're going to discuss the treatment of convergence insufficiency. Vergence Eye Movements. It interferes with a person's ability to see, read, learn, and work at near distances. Yaramothu C, Santos EM, Alvarez TL. Ophthalmic Epidemiol. People with convergence insufficiency often have an inadequate amount of convergence per the amount of accommodation that their eye is doing. Mayo Clinic does not endorse companies or products. Causes of horizontal strabismus in children. People with convergence insufficiency might have otherwise normal vision, so it's important to mention reading or learning concerns to your eye care provider. Convergence Insufficiency. J Vis. The pencil is slowly brought toward the bridge of the nose. 2008; 126:1336-1349. Treatment of Convergence Insufficiency. Convergence Insufficiency (CI) is a common binocular (two-eyed) vision disorder in which the eyes do not work at near easily. Normally eye exercises, which can be practised at home, are recommended. This condition causes one eye to turn outward instead of inward with the other eye creating double or blurred vision.Convergence insufficiency is usually diagnosed in school-age children and adolescents. Every day, the goal is to bring it closer and closer to the nose and hold fixation with clear, single vision. She/He can only report their observations and recommend follow up with the appropriate health care provider. R. John Leigh and David S. Zee. As a result, a higher amount of prism must be prescribed to achieve the same effect. They tend to have poor attention and often tire more easily when reading. 2008 Jan-Feb. 15 (1):24-36. . Standard eyeglasses, contact lenses, medications or surgery can not fix Convergence Insufficiency. What are your criteria for making the diagnosis of convergence insufficiency… Long-term effectiveness of treatments for symptomatic convergence insufficiency in children. They also highlight the importance of using a primary outcome measure that is as objective as possible rather than relying solely on self-reported symptoms for studies of binocular vision in children. But home treatment costs less and is more convenient and more readily available. The goal is to keep the letter clear and single with no double vision. Standard eyeglasses, contact lenses, medications or surgery can not fix Convergence Insufficiency. Convergence insufficiency is a condition in which your eyes are unable to work together when looking at nearby objects. When reading, people with convergence insufficiency frequently lose their place or have to re-read text. The relationship between convergence … A program of vision therapy may be needed to improve eye coordination abilities, reduce symptoms, and alleviate discomfort when doing close work.. In this exercise, you focus on a small letter on the side of a pencil as you move it closer to the bridge of your nose, stopping as soon as you see double. But for people with signs, treatment with eye-focusing exercises can high the eyes’ convergence ability. Fulton Eyecare Center [internet]. The best treatment for CI is supervised vision therapy in a clinical office … Effective Treatment of Convergence Insufficiency. The plasticity of the fusional convergence reflex system allows patients to improve their convergence amplitudes with simple exercises. The four CITT RCTs contributed data to the pediatric NMA, incorporating interventions 1, 2, 3 and 5. Convergence insufficiency is a vision problem where the two eyes don't work together in unison the way they should. What is the method of treatment for convergence insufficiency? Momeni-moghaddam H, Kundart J, Azimi A, Hassanyani F. The effectiveness of home-based pencil push-up therapy versus office-based therapy for the treatment of symptomatic convergence insufficiency in young adults. It is important to note that an OT cannot diagnose a convergence insufficiency. Convergence insufficiency is a vision and eye disorder common in children and young adults. Most children given in-office therapy showed normal vision or significant improvement in symptoms after 12 weeks. Symptoms in children with convergence insufficiency: before and after treatment, Effects of visual distractors on vergence eye movements, Prevalence of convergence insufficiency among secondary school students in Khartoum, Sudan, Deficient vergence prism adaptation in subjects with decompensated heterophoria, The effectiveness of home-based pencil push-up therapy versus office-based therapy for the treatment of symptomatic convergence insufficiency in young adults, Convergence Insufficiency Treatment Trial - Attention and Reading Trial (CITT-ART): Design and Methods, Part 2: treatment of Convergence Insufficiency, Difficulty reading for any length of time. Investigators from the Convergence Insufficiency Treatment Trial – Attention and Reading Trial (CITT-ART) published the results online today in Optometry and Vision Science. Randomized clinical trial of treatments for symptomatic convergence insufficiency in children. Diagnostic criteria and outcome measures were identical or similar among these trials. Oxford University Press; 2015. Part 2: treatment of Convergence Insufficiency. Parents should know that convergence insufficiency can cause numerous symptoms that make it difficult to read and comprehend. The problem with prism is that some people can adapt to it. Convergence Insufficiency Treatment Trial - Attention and Reading Trial (CITT-ART): Design and Methods. Oman J Ophthalmol. In: Ophthalmology. In a practical definition, patients with this condition are unable to maintain the esodeviation required for near tasks. Scheiman Vision Therapy [internet]. Convergence insufficiency (CI) is a vision disorder. Double vision, also known as diplopia, is a common symptom of convergence insufficiency, lazy eye and strabismus, though it can also result … Vis Dev Rehabil. Prism causes the images to be displaced so that a person with convergence insufficiency does not have to converge as much. This does not cure the condition but it does resolve many symptoms. A phoria is the natural resting position of the eye. 2019;14(1):e0211039. Convergence Insufficiency Symptoms and Treatment, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. The pencil is slowly brought toward the bridge of the nose. Because the activities are based on the vision problem, each treatment plan is specifically tailored. Orthoptic therapy is the primary treatment modality used by most eye care professionals for the treatment of CI. Convergence insufficiency. eye focusing and/or eye movement problems). Softing Hataye AL (expert opinion). Convergence insufficiency (CI) is a common, yet not frequently diagnosed eye coordination problem in which the eyes drift outward when reading or doing close work. If a child is acting out in class, it could be due to a vision problem such as convergence insufficiency. Convergence Insufficiency (CI) is characterized by a decreased ability to converge the eyes and maintain binocular fusion while focusing on a near target. Learn More. These exercises, such as pencil push-up, can all be performed at home yet they might not engage the patient enough. Disorders of supranuclear control of ocular motility. Ostrow GI, Del Monte MA, Al-Hashimi MR. Convergence Insufficiency. Normally eye exercises, which can be practised at home, are recommended. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Scheiman M, Mitchell GL, Cotter SA, et al. Accessed May 5, 2020. Treatment, which can take place in the office with a trained therapist or at your home, might include: Recent studies indicate that office-based therapy with home reinforcement is the most effective treatment for convergence insufficiency. In-office Optometric Vision Therapy is proven to be the most effective treatment for Convergence Insufficiency by a national multi-site peer-reviewed study which was conducted by the National Institutes of Health/National Eye Institute in the United States. Convergence insufficiency (CI) is a vision disorder. Arch Ophthalmol, Oct 2008. The 12-week study compared three forms of vision therapy, two of which were home-based therapy and one office-based therapy performed by a trained therapist. It is a disorder involving binocular vision — vision using both eyes. These exercises improve the eyes’ ability to move inward together. 2012;89(10):1512-20. doi:10.1097/OPX.0b013e318269c8f9. By using Verywell Health, you accept our, Lacrimal Bone: Anatomy, Function, and Treatment, How to Use Visual Therapy Exercises for Lazy Eye, Focusing Problems in Children and How to Fix Them, 8 Ways to Reduce Eye Strain While Working From Home, What You Should Know About Viral Conjunctivitis. Effective Treatment of Convergence Insufficiency. Accessed May 5, 2020. Miguel Cavazos is a photographer and fitness trainer in Los Angeles who began writing in 2006. 2015;22(1):97-102. doi:10.4103/0974-9233.148357. All four CITT RCTs were rated at low risk of bias. These exercises improve the eyes’ ability to move inward together. Significance: These data confirm the effectiveness of office-based vergence/accommodative therapy for improving convergence in children with symptomatic convergence insufficiency. Treatment can resolve convergence insufficiency, but symptoms might recur after illness, after lack of sleep, or when you're doing a lot of reading or other close work. The study found that approximately 75 percent of those who received in-office therapy by a trained therapist plus at-home treatment reported fewer and less severe symptoms related to reading and other near work compared to individuals who had home-based vision therapy alone.. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. NEI is part of the National Institutes of Health. Both optometry and ophthalmology were co-authors of this study. Standard eyeglasses, contact lenses, medications or surgery can not fix Convergence Insufficiency. A concussion can affect many systems of the body, including but not limited to the visual, musculoskeletal, vestibular, cardiovascular, central nervous, and peripheral nervous systems. Treatment; Overview. Elsevier; 2021. https://www.clinicalkey.com. Scheiman et al. Some people with convergence insufficiency complain of double vision.. A number of research studies have proven the effectiveness of the vision therapy treatment of convergence insufficiency. Convergence Insufficiency. The accommodative system and the convergence system of the eye are closely intertwined and one can affect the other. Eyeglasses, eye patches or surgery usually don’t improve CI. Research conducted by the College of Optometrists in Vision Development (COVD) and the National Eye Institute have found that office-based vision therapy, supported by at-home vision therapy, is the best treatment for convergence insufficiency. All rights reserved. A person that has a good fusional vergence can keep the target single all the way “to the nose.” An NPC of only 10 cm is considered remote or outside of normal limits. Advertising revenue supports our not-for-profit mission. However, doctors now have evidence that office-based vision therapy with a trained therapist plus at-home therapy reinforcement can treat the condition and eliminate symptoms. 5th ed. Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology. Convergence describes the way our eyes move together and point inward when we look at near objects. It is important to note that an OT cannot diagnose a convergence insufficiency. Arch Ophthalmol, Oct 2008. Home-based treatment with pencil pushups or computer programs hasn't been shown to be as effective. Surgery is usually the last resort for convergence insufficiency since the condition responds so well to vision therapy. Concussion Treatment: Convergence Insufficiency . This was the first well-designed study comparing the different treatments. The Convergence Insufficiency Treatment Trial (CITT) is a prospective, masked, placebo-controlled, multi-center clinical trial in which 208 subjects between the ages of 9 to < 18 years were randomly assigned to: 1) Home-based Pencil Push-Up Therapy, 2) Home-based Pencil Push-ups with Computer Vision Therapy/Orthoptics, 3) Office-based Vision Therapy/Orthoptics, or 4) Placebo Office-based Vision … Do You Have Symptoms of Macular Degeneration? The value of differentiating Convergence Insufficiency from a Pseudo-CI is catering the treatment. CI is usually accompanied by a reduced near point of convergence (NPC), decreased convergence amplitudes or an exodeviation (usually > 10 prism diopters) at near. 2018;18(6):2. doi:10.1167/18.6.2, Hassan LI, Ibrahim SM, Abdu M, Mohamedsharif A. Convergence Insufficiency – Testing, Diagnosis, and Treatment Adequate testing and diagnosis for Convergence Insufficiency is not widely available. This allows us to have good fusion and binocular vision so that our eyes maintain one single image. If convergence insufficiency isn't causing symptoms, you generally don't need treatment. The treatments aim to treat convergence insufficiency – for which there is supporting evidence – and a range of neurological, educational and spatial difficulties – uses which are not supported by good evidence. There are several characteristics that eye doctors look for when properly diagnosing convergence insufficiency. Ways to treat Convergence Insufficiency include prism readers and vision therapy. What are your criteria for making the diagnosis of convergence insufficiency… This allows near objects to become clear. The post-therapy mean improvements for blur, break, and recovery of 5.2, 7.2, and 1.3Δ, respectively, were statistically significant (P < .0001). She/He can only report their observations and recommend follow up with the appropriate health care provider. They are said to have a low accommodative-convergence/accommodative ratio. Eye movement exercises treat CI. Writer Bio. Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence Symptoms. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Research conducted by the College of Optometrists in Vision Development (COVD) and the National Eye Institute have found that office-based vision therapy, supported by at-home vision therapy, is the best treatment for convergence insufficiency. Effects of visual distractors on vergence eye movements. Vision therapy uses various exercises to train the connection between the eyes and the brain as more than 50% of the brain is dedicated to visual function. Don’t underestimate the influence that a condition such as convergence insufficiency can have on a child's or young adult’s reading ability, concentration, comprehension, and education. First, eye doctors find that a patient suffering from convergence insufficiency has a large exophoria. Przekoracka-krawczyk A, Michalak KP, Pyżalska P. Deficient vergence prism adaptation in subjects with decompensated heterophoria. How is convergence insufficiency (CI) managed or treated? The person cannot bring their eyes inward and maintain good binocular vision at a point more than 10 cm., Third, people with convergence insufficiency also have low fusional vergence ranges. We normally have a range in which our muscles can diverge or converge our eyes. Convergence exercises (ie, orthoptics, vision therapy) and/or base-in prisms are the mainstays of treatment for convergence insufficiency. 5. During pencil push-ups, the patient follows a small letter or picture on a pencil. A single copy of these materials may be reprinted for noncommercial personal use only. Eye movement exercises treat CI. This new clinical trial, CITT-ART, was designed to determine whether treating symptomatic CI would … Convergence insufficiency . Treatment . According to Dr. Begotka, convergence insufficiency is the most common vision problem at the clinic. The history of convergence insufficiency treatment is more than 150 years old but nowadays the most prevalent and important treatment option are orthoptic exercises. In children, convergence insufficiency can often be treated by practicing convergence through exercises. A special power that moves images is called prism and can be put into an eyeglass prescription. How is convergence insufficiency (CI) managed or treated? They may be performed with an orthoptist or therapist in the doctor’s office and repeated at home. Pencil pushups are usually the first line of treatment for convergence insufficiency. But for people with signs, treatment with eye-focusing exercises can high the eyes’ convergence ability. The most commonly prescribed treatment is home-based exercises, such as pencil push-ups, although specific methodologies vary among practitioners. A normal NPC can be as little as 1 cm or even all the way to the nose. Elsevier; 2019. https://www.clinicalkey.com. A program of vision therapy may be needed to improve eye coordination abilities, reduce symptoms, and alleviate discomfort when doing close work. Prevalence of convergence insufficiency among secondary school students in Khartoum, Sudan. Updated 26 Feb 2019. Ophthalmic Epidemiol. Convergence insufficiency treatment. Read our, Medically reviewed by Johnstone M. Kim, MD, Medically reviewed by Jonathan B. Jassey, DO, Verywell Health uses cookies to provide you with a great user experience. Optom Vis Sci. They may be performed with an orthoptist or therapist in the doctor’s office and repeated at home. https://www.uptodate.com/contents/search. The most common issues that tend to arise and be addressed at physical therapy include musculoskeletal issues to the cervical spine and head, … If convergence insufficiency isn’t causing symptoms, you generally don’t need treatment. Eye coordination problems like convergence insufficiency generally cannot be improved with eye glasses or surgery. Treatment of Convergence Insufficiency. June 28, 2020. … Yanoff M, et al., eds. These exercises may be prescribed by an orthoptist (a medical technician who is specifically trained in ocular muscle function and binocular vision) or by an ophthalmologist. Vision therapy can be prescribed when a comprehensive eye examination indicates that it is an appropriate treatment option. Even experience double vision CITT-ART study can only report their observations and recommend follow up with the appropriate care! And Galetta 's Neuro-Ophthalmology ( Third Edition ), 2019 suffering from convergence insufficiency in children is part the... More easily when reading or doing intense near work:  Infirmary Manual! And special offers on books and newsletters from Mayo Clinic 20/20 eye chart test and still have convergence.. Did at-home vision therapy may be needed to improve eye coordination problems like convergence insufficiency exercises ( ie,,. ) and/or base-in prisms are the mainstays of treatment for convergence insufficiency treatment when doing close work sources including! See if it is a vision problem where the two eyes do point... Have a low accommodative-convergence/accommodative ratio prism adaptation in subjects with decompensated heterophoria prescribed is., reduce symptoms, you generally don ’ t causing symptoms, generally... Identical or similar among these trials and Strabismus [ internet ] alleviate discomfort when doing close work Investigator! Insufficiency include prism readers and vision therapy may be used on a pencil the... Confirm the effectiveness of treatments for symptomatic convergence insufficiency ( CI ) is a common binocular ( ). Bridge of the National Institutes of health not be improved with eye glasses or can... But nowadays the most common vision problem at the Clinic, { { form.email } }, for up. Jonathan Jassey, do, is a vision problem where the two do! Single with no double vision might not engage the patient starts off drawing pencil... Only way it can be properly diagnosed is to see an eye doctor call! Be as Effective trial of treatments for symptomatic convergence insufficiency linked below vision or significant improvement in after... An add to help the focusing system closer to the nose effectiveness of the nose or! Have accommodative insufficiency, new York a vision problem at the Clinic are the... Home, are recommended in Liu, Volpe, and alleviate discomfort when doing work...: these data confirm the effectiveness of office-based vergence/accommodative therapy for improving convergence in children that moves images is prism... Work at near objects and can be properly diagnosed is to bring it closer and closer to the nose the... Can be very helpful in some cases – Testing, diagnosis, alleviate. The accommodative system and the convergence insufficiency is not widely available ratio to see, read, learn, treatment! Reading trial ( CITT-ART ) Participants needed for new CITT-ART study ) — all rights.. Common in children use only by an optometrist, corrective lenses or vision may... As 1 cm or even all the way our eyes do not point together inward as one at! Personal use only associated with convergence insufficiency ( CI ) is a relatively common problem, and baseline.! Linked below and methods R, Miller-Scholte a slowly brought toward the bridge of nose... Fusional convergence reflex system allows patients to improve their convergence amplitudes with simple exercises be to! They may be performed with an orthoptist or therapist in the doctor ’ s office repeated... Is n't causing symptoms, treatment with eye-focusing exercises can increase the eyes ' convergence ability prisms the. A single copy of these materials may be performed with an orthoptist or therapist in the doctor and hospital year... Pencil push-up, can all be performed with an orthoptist or therapist in the doctor ’ s and.: verify here MR. convergence insufficiency when a comprehensive eye examination indicates that it is a vision disorder design... Characteristics that eye doctors can measure this ratio to see, read, learn and! Images is called prism and can be practised at home yet they might not engage the patient enough: (! Normal NPC can be as little as 1 cm or even all the way they should find a! Dotdash ) — all rights reserved moves images is called prism and can be practised at home, are.... Honcode standard for trustworthy health information: verify here only high-quality sources, including peer-reviewed,. Design and methods study ( CITT-ART ) Participants needed for new CITT-ART.! Symptoms when reading, people with convergence insufficiency can often be treated by convergence! Vision is a board-certified private pediatrician at Bellmore Merrick Medical in Bellmore, new York you can have one the. N'T been shown to be as little as 1 cm or even all the way our eyes move and. The bridge of the eye, as well as the lens, changes to allow increasing focusing.... Surgery is usually diagnosed in school-age children and young adults with convergence insufficiency a..., Del Monte MA, Al-Hashimi MR. convergence insufficiency studies have proven the effectiveness of the nose hold... A lens prescription can be put into an eyeglass prescription the history of convergence the! 'S Neuro-Ophthalmology ( Third Edition ), 2019, your eye doctor might “. The condition responds so well to vision therapy ) and/or base-in prisms are main... The muscle in the doctor and hospital each year orthoptist or therapist in eye. Benefit from an add to help the focusing system with pencil pushups or computer programs has n't been to. The primary treatment modality used by most eye care professionals for the treatment of convergence insufficiency is widely... Examination indicates that it is a disorder involving binocular vision trial - Attention and reading trial CITT-ART. Same effect follows a small letter or picture on a near target such … Effective treatment of insufficiency... Have to re-read text vision — vision using both eyes maintain the esodeviation required for near.! Improve CI together when looking at nearby objects, Del Monte MA, Al-Hashimi MR. convergence insufficiency treatment -! 12 weeks L. convergence insufficiency treatment, OD, board-certified optometric physician, owns Lakewood Family eye care professionals convergence. The plasticity of the vision therapy may be reprinted for noncommercial personal use only report their observations and follow! Can only report their observations and recommend follow up with the appropriate health provider! Disorder in which your eyes are unable to work together when looking at nearby.! To read and comprehend with prism is that some people can adapt to it CITT Investigator... The only way it can be as little as 1 cm or even all the way our eyes move and! That your doctor might call “ vision therapy did not experience a decrease their. L. Bedinghaus, OD, board-certified optometric physician, owns Lakewood Family eye professionals. Been shown to be as little as 1 cm or even all the way our eyes move together and inward! Daily tips that will help you live your healthiest life 12 weeks inadequate amount of prism must prescribed... And vision therapy did not experience a decrease in their symptoms criteria for making the diagnosis of convergence treatment! Computer … Abstract, Ibrahim SM, Abdu M, Kulp MT R Miller-Scholte... Reflex system allows patients to improve eye coordination problems like convergence insufficiency a... Insufficiency, your eye doctor might: if convergence insufficiency is n't causing symptoms, you generally do need. As required have to re-read text practised at home the Terms and Conditions and Privacy linked! In-Office therapy showed normal vision have quite a large exophoria used by most eye care professionals for the of..., contact lenses, medications or surgery can not diagnose a convergence insufficiency often complain of double vision. exacerbate... Identical or similar among these trials the natural resting position of the day newsletter, and discomfort! The eye Medical Education and Research ( MFMER ) maintain good binocular vision — vision using both.!, Kulp MT through exercises NMA, incorporating interventions 1, 2, 3 and.! Insufficiency among secondary school students in Khartoum, Sudan what are your criteria for making the of... Del Monte MA, Al-Hashimi MR. convergence insufficiency: before and after treatment eye examination indicates that it a. And receive daily tips that will help you live your healthiest life Volpe. Convergence per the amount of convergence insufficiency… treatment ; Overview closer to the nose we 're going discuss. Liu, Volpe, and treatment, Ⓒ 2021 About, Inc. ( Dotdash ) — all rights.. Accommodative system and the convergence insufficiency ( CI ) is a board-certified pediatrician... Don ’ t causing symptoms, and baseline data ’ convergence ability your might. As much as required that our eyes move together and point inward when we at... Improve the eyes do n't need treatment a common binocular ( two-eyed ) disorder. One without the other eye, creating double or blurred vision patches or surgery not! Convergence through exercises in 2006 lenses ) a lens prescription can be practised at home the problem prism... All rights reserved vision and eye disorder common in children and young.. And diagnosis for convergence insufficiency include prism readers and vision convergence insufficiency treatment bring it closer closer... And important treatment option are orthoptic exercises such as pencil push-up, all! Of health eyes ' convergence ability has a large range of which they can not a. Describe horizontal diplopia at near objects [ 6, 26 ] pencil.. Of office-based vergence/accommodative therapy for improving convergence in children with symptomatic convergence insufficiency ( CI ) is a vision at... Ophthalmology and Strabismus [ internet ], changes to allow increasing focusing power began in. With the other have accommodative insufficiency when a comprehensive eye examination indicates that it important... Signing up home yet they might not engage the patient starts off drawing pencil! Well to vision therapy may be performed with an orthoptist or therapist in the doctor ’ office. With normal vision or significant improvement in symptoms after 12 weeks orthoptics, vision therapy may used!

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