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The most common application for this is the treatment of strabismus. By moving the image in front of the deviated eye, double vision can be avoided and comfortable binocular vision can be achieved. Other applications include yoked prism where the image is shifted an equal amount in each eye.
Treatment options include eye exercises, [2] wearing an eye patch on alternative eyes, [2] [24] prism correction, [26] [24] [27] and in more extreme situations, surgery [5] [28] or botulinum toxin. [29]
Prism therapy (if tolerated, to manage diplopia) Vision Therapy. Patching (mainly to manage amblyopia in children and diplopia in adults) Botulinum toxin injection. Surgical correction. Surgical correction of the hypertropia is desired to achieve binocularity, manage diplopia and/or correct the cosmetic defect.
Treatment. Convergence insufficiency may be treated with convergence exercises prescribed by an eyecare specialist trained in orthoptics or binocular vision anomalies (see: vision therapy ). Some cases of convergence insufficiency are successfully managed by prescription of eyeglasses, sometimes with therapeutic prisms .
Horror fusionis is a rare condition and normally appears only in patients who have been treated by means of surgery or other interventions. [2] Attempts to achieve stereoscopic vision, in particular anti-suppression therapy and other orthoptic exercises, may lead to double vision as undesired side effect, in particular also to horror fusionis .
Most eyes with CSR undergo spontaneous resorption of subretinal fluid within 3–4 months. Recovery of visual acuity usually follows. Treatment should be considered if resorption does not occur within 3–4 months, [19] spontaneously or as the result of counselling. [1]
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