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Convergence Insufficiency. Other names. Convergence disorder. Specialty. Ophthalmology, optometry. Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence .
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.
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.
In optometry, convergence is the simultaneous inward movement of both eyes toward each other, usually in an effort to maintain single binocular vision when viewing an object. [6] This is the only eye movement that is not conjugate, but instead adducts the eye. [7]
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]
Cause. Exophoria can be caused by several factors, which include: Refractive errors – distance and near deviation approximately equal. Divergence excess - exodeviation is more than 15 dioptres greater for distance than near deviation. Convergence insufficiency – near exodeviation greater than distance deviation.
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]
Causes include: Refractive errors. Divergence insufficiency. Convergence excess; this can be due to nerve, muscle, congenital or mechanical anomalies. [1] Unlike esotropia, fusion is possible and therefore diplopia is uncommon.
Stereopsis recovery. Eye patches may strengthen the weaker eye but fail to stimulate binocular vision and stereopsis, which may sometimes be recovered by different means. Stereopsis recovery, also recovery from stereoblindness, is the phenomenon of a stereoblind person gaining partial or full ability of stereo vision ( stereopsis ).