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Convergence Insufficiency. Other names. Convergence disorder. Specialty. Ophthalmology, optometry. 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 .
Convergence insufficiency. Accommodative insufficiency ( AI) involves the inability of the eye to focus properly on an object. Accommodation is the adjustment of the curvature of the lens to focus on objects near and far. In this condition, amplitude of accommodation of a person is lesser compared to physiological limits for his age. [1]
A common form of exotropia is known as "convergence insufficiency" that responds well to orthoptic vision therapy including exercises. This disorder is characterized by an inability of the eyes to work together when used for near viewing, such as reading.
Accommodative excess may occur secondary to convergence insufficiency also. In convergence insufficiency near point of convergence will recede, and positive fusional vergence (PFV) will reduce. So, the patient uses excessive accommodation to stimulate accommodative convergence to overcome reduced PFV.
Causes include: Refractive errors. Divergence insufficiency. Convergence excess; this can be due to nerve, muscle, congenital or mechanical anomalies. [1] Unlike esotropia, fusion is possible and therefore diplopia is uncommon.
Spasm of accommodation. A spasm of accommodation (also known as a ciliary spasm, an accommodation, or accommodative spasm) is a condition in which the ciliary muscle of the eye remains in a constant state of contraction. Normal accommodation allows the eye to "accommodate" for near-vision. However, in a state of perpetual contraction, the ...
Suppression of an eye is a subconscious adaptation by a person's brain to eliminate the symptoms of disorders of binocular vision such as strabismus, convergence insufficiency and aniseikonia. The brain can eliminate double vision by ignoring all or part of the image of one of the eyes.
It refers to a certain range of object distances for which the retinal image is as sharply focussed as possible. Amplitude of accommodation is measured during routine eye-examination. The closest that a normal eye can focus is typically about 10 cm for a child or young adult.
Whether there is a significant increase in the response AC/A before age 40 is unclear. Research on convergence accommodation (CA) shows a decrease in CA/C, whether measured by response or stimulus methods, with increasing age. See also. Convergence insufficiency; Negative relative accommodation; Positive relative accommodation; References
Convergence insufficiency – near exodeviation greater than distance deviation. These can be due to nerve, muscle, or congenital problems, or due to mechanical anomalies. Unlike exotropia, fusion is possible in this condition, causing diplopia to be uncommon.