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In a bibliographic review of 2010, the CITT confirmed their view that office-based accommodative/vergence therapy is the most effective treatment of convergence insufficiency, and that substituting it in entirety or in part with other eye training approaches such as home-based therapy may offer advantages in cost but not in outcome.
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. This disorder is characterized by an inability of ...
The CITT study (Convergence Insufficiency Treatment Trial) was a randomized, double-blind multi-center trial (high level of reliability) indicating that orthoptic vision therapy is an effective method of treatment of convergence insufficiency (CI). Both optometrists and ophthalmologists were coauthors of this study.
Binocular Vision Disorders: These are issues with how the eyes work together, such as strabismus (eye misalignment) or convergence insufficiency (difficulty bringing the eyes together to focus on near objects). Amblyopia (Lazy Eye): Behavioral optometrists may provide therapy and treatments to improve vision in individuals with amblyopia.
Accommodative convergence. 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 ...
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. Risk factors. A large amount of near work ...
The prism fusion range ( PFR) or fusional vergence amplitude is a clinical eye test performed by orthoptists, optometrists, and ophthalmologists to assess motor fusion, specifically the extent to which a patient can maintain binocular single vision ( BSV) in the presence of increasing vergence demands. Motor fusion is largely accounted to ...
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. In this condition, amplitude of accommodation of a person is lesser compared to physiological limits ...