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Convergence insufficiency can cause difficulty learning to read. 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 of the exercises use: [citation needed] Marsden balls; Rotation trainers; Syntonics; Balance board or beams; Saccadic fixators; Directional sequencers; Fusional amplitude and relative fusional amplitude training are designed to alleviate convergence insufficiency. The CITT study (Convergence Insufficiency Treatment Trial) was a randomized ...
The Brock string is commonly employed during treatment of convergence insufficiency and other anomalies of binocular vision. It is used to develop skills of convergence as well as to disrupt suppression of one of the eyes.
Orthoptic exercises have proven to be effective for reducing symptoms in patients with convergence insufficiency and decompensating exophoria by improving the near-point convergence of the eyes that is necessary for binocular fusion.
Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is often required. A common form of exotropia is known as " convergence insufficiency " that responds well to orthoptic vision therapy including exercises.
Determines the orthoptic exercises required to manage fusional inadequacies i.e. convergence insufficiency. Disadvantages. Can not measure cyclotorsion. Can not be performed on patients with suppression as patients can not appreciate diplopia. Convergence must be measured second to divergence or results will be contaminated.
In a small-scale study, adults whose reading difficulties due to convergence insufficiency had been unsuccessfully addressed by convergence exercises, base-in prism glasses or strabismus surgery showed improved reading after botulinum toxin therapy, maintaining improved reading remaining also after six months.
Differential diagnosis. 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.
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.
Binasal occlusion is used in treatment of patients with sensory deficits due to complications of traumatic brain injury or having had a stroke, as well as patients with diplopia, esotropia, convergence excess, divergence insufficiency, or visual overstimulation.