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Children struggling with symptoms such as letters appearing blurry or double and experience tiredness or headaches when reading should consult an optometrist. Prevalence. Among fifth and sixth grade children convergence insufficiency is 13%.
Signs and symptoms. Though present from birth, symptoms of congenital fourth cranial nerve palsy may start as subtle and increase with age. Hence, diagnosis by a healthcare practitioner may not be made until later childhood or adulthood.
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.
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.
Prism lenses (here unusually thick) are used for pre-operative prism adaptation. Health insurances always review therapies in terms of clinical effectiveness in view of existing scientific literature, benefit, risk and cost.
The Gottlieb button prism, and the Peli superior and inferior horizontal bands are some proprietary examples of prism glasses. These high power prisms "create" artificial peripheral vision into the non-blind field for obstacle avoidance and motion detection.