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Convergence insufficiency is characterized by one or more of the following diagnostic findings: patient symptoms, high exophoria at near, reduced accommodative convergence / accommodation ratio, receded near point of convergence, and low fusional vergence ranges and/or facility.
Burton J. Kushner. Burt Kushner is an American pediatric ophthalmologist specializing in the diagnosis and treatment of strabismus. Kushner's contributions include demonstration of improved visual fields of patients following strabismus surgery, elucidation of torsional contribution to patients with diplopia, corticosteroid treatment of ...
Vision therapy is a broad concept that encompasses a wide range of treatment types. [3] These include those aimed at convergence insufficiency – where it is often termed " vergence therapy" or "orthoptic therapy" – and at a variety of neurological, educational and spatial difficulties. [3]
Ophthalmology. Internuclear ophthalmoplegia ( INO) is a disorder of conjugate lateral gaze in which the affected eye shows impairment of adduction. When an attempt is made to gaze contralaterally (relative to the affected eye), the affected eye adducts minimally, if at all.
The amplitude of accommodation is the maximum potential increase in optical power that an eye can achieve in adjusting its focus. It refers to a certain range of object distances for which the retinal image is as sharply focussed as possible.
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. [5]
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]
Binocular Vision Disorders: These are issues with how the eyes work together, such as strabismus (eye misalignment) or convergence insufficiency (difficulty bringing the eyes together to focus on near objects).
The American Association for Pediatric Ophthalmology and Strabismus ( AAPOS) is an academic association of pediatric ophthalmologists and strabismus surgeons. The pediatric ophthalmology fellowships in the United States are accredited by the AAPOS. International members are also allowed based on evident valuable contributions and dedication to the field of pediatric ophthalmology.