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Some cases of convergence insufficiency are successfully managed by prescription of eyeglasses, sometimes with therapeutic prisms. Pencil push-ups therapy is performed at home. The patient brings a pencil slowly to within 2–3 cm (0.79–1.18 in) of the eye just above the nose about fifteen minutes per day five times per week.
The prism cover test ( PCT) is an objective measurement and the gold standard in measuring strabismus, i.e. ocular misalignment, or a deviation of the eye. [1] It is used by ophthalmologists and orthoptists in order to measure the vertical and horizontal deviation and includes both manifest and latent components. [1]
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.
A good procedure is a chart, analogous to the familiar Snellen visual acuity chart, in which one letter in each row differs in depth (front or behind) sequentially increasing in difficulty. For children the fly test is ideal: the image of a fly is transilluminated by polarized light; wearing polarizing glasses the wing appears at a different ...
A Brock string (named after Frederick W. Brock) is an instrument used in vision therapy. It consists of a white string of approximately 10 feet in length with three small wooden beads of different colors. The Brock string is commonly employed during treatment of convergence insufficiency and other anomalies of binocular vision.
Prism lenses do not address torsional misalignment and this may limit their use in certain cases. An additional consideration of prism lenses is that they must be worn at all times. Prism lenses reduce vertical fusional demands by allowing the eyes to rest in their vertically misaligned state.
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. The area of a person's visual field that is suppressed is ...
Other options for strabismus management are vision therapy and occlusion therapy, corrective glasses (or contact lenses) and prism glasses, and strabismus surgery. The effects that are due only to the toxin itself (including the side effects) generally wear off within 3 to 4 months.
Accommodative convergence is that portion of the range of inward rotation of both eyes (i.e., convergence) that occurs in response to an increase in optical power for focusing by the crystalline lens (i.e., accommodation ). [1] When the human eye engages the accommodation system to focus on a near object, signal is automatically sent to the ...
Prismatic, self-masking glasses are now being used by some cross-eyed-view advocates. These reduce the degree of convergence required and allow large images to be displayed. However, any viewing aid that uses prisms, mirrors or lenses to assist fusion or focus is simply a type of stereoscope, excluded by the customary definition of freeviewing.