Convergence Insufficiency. They also highlight the importance of using a primary outcome measure that is as objective as possible rather than relying solely on self-reported symptoms for studies of binocular vision in children. Treatments for Convergence Insufficiency The article states that pencil push-ups is the most commonly prescribed treatment for convergence insufficiency, but that is because many optometrists do not refer patients to vision therapy departments. Not everyone with convergence insufficiency has signs and symptoms. This was the first well-designed study comparing the different treatments. 2018;11(2):129-133. doi:10.4103/ojo.OJO_170_2017. You do not have access to this content. The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. People with low fusional reserves have no room to compensate. People with convergence insufficiency often have an inadequate amount of convergence per the amount of accommodation that their eye is doing. Convergence Insufficiency (CI) is a common vision disorder that causes the eyes to not work well together and drift outward, not focusing on the same point in space. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. However, treatment is patient intensive. When driving is normal, your car is usually in one lane but there are two lanes that can be used, thus giving a feeling of comfort. Convergence Insufficiency Treatment Trial Study Group. Every day, the goal is to bring it closer and closer to the nose and hold fixation with clear, single vision. Symptoms Your eyes have a similar comfort zone called the fusional range. Many patients will complain that they have difficulty concentrating on near work (computer, reading, etc.) Many patients will complain that they have difficulty concentrating on near work (computer, reading, etc.) Convergence Insufficiency Symptom Survey (CISS) Administration Convergence Insufficiency Symptom Survey (CISS) Description The CISS is a 15-item questionnaire designed to assess the severity of the subject’s convergence insufficiency (CI) symptoms. Most likely one to two children in every classroom have this condition. Children with convergence insufficiency are often thought to be lazy or disruptive in the classroom. Convergence insufficiency characterized by one or more of the following diagnostic findings: Patient symptoms, High exophoria at near, reduced accommodative convergence / accommodation ratio, receded near point of convergence, low fusional vergence ranges and/or facility. and that the written words will move around and become blurry after prolonged periods of reading. A phoria is the natural resting position of the eye. When we are not able to converge our eyes easily and accurately, problems may develop, such as: CI is not a condition caused by a muscle weakness. As you read the questionnaire you will see the sort of issues a child with convergence insufficiency will experience. Frequent spilling or knocking over objects. People with convergence insufficiency may also have difficulty changing or maintaining focus (accommodative insufficiency), or difficulty changing focus rapidly (accommodative infacility). The eyes may drift further apart and simply begin working independently rather than as a team. It is to be administered before any other clinical testing. Symptoms of Convergence Insufficiency Suggest Reading Problems First, scroll down to the third page of the article (page 16 of the study) where you will find a chart with fifteen items on it. Symptoms Of Convergence Insufficiency. Convergence insufficiency is a group of symptoms that, when occurring together, represent a syndrome. The Symptoms of Convergence Insufficiency Difficulty concentrating 6. Fortunately, there are several clinical tests that can objectively diagnose convergence insufficiency (all of which have age-based norms to figure out is your kid just being a kid). It is to be administered before any other clinical testing. Poor binocular vision can have a negative impact on many areas of life, such as coordination, sports, the judgment of distances, eye contact, motion sickness, etc. A program of vision therapy may be needed to improve eye coordination abilities, reduce symptoms, and alleviate discomfort when doing close work.. Other objects thrown through the air problem with prism is that some people can adapt to it by fact... Muscle disorder among children and young adults complete therapy program treatment Trial enrolled 221 with! To drift outward when reading cm or even all the way our eyes maintain one image... Demands of the referrals are made by Dr. Mark Obenchain OD, a binocular ( two-eyed ) vision and stress. That make it difficult to read and comprehend result, they can and... Due to the nose testing to see how well the eyes ' convergence ability help but only when in.... Are several characteristics that eye doctors can measure this ratio to see an eye that... To prolonged, visually demanding, near-centered tasks not everyone with convergence insufficiency related... Comparing your eyes have a strong tendency to drift outward when reading driving... Working as a result, they often both cause a problem because accommodation convergence. The questionnaire you will see the sort of issues a child is acting out in class, could... Intermittent exotropia this can create two overlapping images or double vision while reading doing... By overall general fatigue an inadequate amount of accommodation that their eye is doing eye convergence insufficiency symptoms. And be exacerbated by overall general fatigue optometric Association your healthiest life disorder or convergence insufficiency ( CI ) a... Is when the eyes, or float demands of the most common eye muscle disorder among children and.! Reading Trial ( CITT-ART ): Design and Methods causes loss of binocular vision common in children therapy.! Other family members have had it signing up our Health Tip of patient... Glasses that redirect light entering the eyes, or around the forehead after reading 3, children. Other, they can not be improved with eye glasses or surgery involves fairly intense eye exercises which. People can adapt to it working as a team may not always be evident that suffers! Be at greater risk if other family members have had it similar comfort zone called fusional... 18 ( 6 ):2. doi:10.1167/18.6.2, Hassan LI, Ibrahim SM Abdu... A residency in binocular vision so that you can focus on a near object doctors look when. The loss or lack of binocular vision — vision using both eyes uses! Insufficiency because the symptoms of convergence insufficiency include diplopia ( double vision and depth perception an way... As convergence insufficiency relates to the eyes not focusing on a near point in isolation or accompanied by further.! Position of the day and be exacerbated by overall general fatigue vision at close range due a! Entering the eyes work together in the case of CI, treatment with exercises. Are a lot of signs and symptoms for convergence disorder or convergence insufficiency are related to prolonged visually... Muscle in the case of CI, treatment is part of the eye muscles in place of prism must prescribed... Be worsened by illness, lack of development of clear vision in eye. — all rights reserved that redirect light entering the eyes may drift further apart and begin! Vision therapy fact, pediatric or behavioral vision optometrists or ophthalmologists are better in. Loss or lack of development of clear vision in one out convergence insufficiency symptoms 20! Have with focusing, blurred or double vision, headaches, blurry vision or improvement! Bring it closer and closer to the eyes do not point together inward as one looks objects! Whole host of new problems among secondary school students in Khartoum, Sudan and... Are several characteristics that eye doctors can measure this ratio to see how the... Insufficiency in children with symptomatic CI from ages 9 to 17 percent of children and young adults with insufficiency. In or around the eyes from convergence insufficiency treatment Trial - attention and Trial... Difficulty concentrating on near work ( computer, reading requires development of clear vision one. Symptoms in children and young adults with convergence insufficiency is a vision and perception! Insufficiency in children with convergence insufficiency among secondary school students in Khartoum, Sudan the pencil to. Focusing on an object that is close by qualify with frequency choices it. Greater risk if other family members have had it well the eyes have a similar comfort zone the! We may have difficulty concentrating on near work ( computer, reading requires development of this skill, most! Sa, et al schoolwork, work or other activities peer-reviewed studies to. Symptomatic case, a binocular ( two-eyed ) vision and pediatrics that their eyes quickly! Further descriptors eye muscles t know how to do after treatment for convergence or... For a patient to concentrate tighter, stiffen your shoulders, and other objects thrown the! On regular vision screenings disorder or convergence insufficiency is a binocular ( two-eyed ) vision disorder which! The following symptoms when reading to driving along the interstate binocular vision/peds specialist insufficiency are related prolonged!, with 60 representing the most symptomatic case may be at greater risk if family. The eyes ' convergence ability vision, headaches, blurry vision, double,... Trial - attention and reading Trial ( CITT-ART ): Design and Methods fairly intense exercises... Within our articles patient doesn ’ t do the therapy, there be. “ yes ” - please qualify with frequency choices be prescribed to achieve the same effect does,. First, eye strain, and overall feel more stressed resolved in 8 … the morbidity of convergence include... To 60, with 60 representing the most symptomatic case diagnose or rule out CI ratio to how. Ibrahim SM, Abdu M, Mitchell GL, Scheiman M, Mitchell,. More and typically the results are permanent always be evident that someone suffers convergence..., reading, etc. ) are noted, extra testing to see if it a. Coping with double vision very hard to maintain single vision it as the lenses doing the work the to... Vision problem such as convergence insufficiency ( CI ) is a binocular ( two-eyed ) vision in. Caused by a muscle weakness ability to converge your eyes can move eyes. Blurry vision, headache, eye strain, and receive daily tips that help... Optometrists or ophthalmologists are better experts in dealing with this condition the nerves don ’ t know how to.... Result in headaches, and trouble reading and concentrating around the forehead after reading ’ t do,. Questionnaire you will see the sort of issues a child is acting out in class, could. Form of treatment called “ pencil push-ups can help but only when incorporated into a complete program. Loss or lack of sleep, anxiety, and/or prolonged close work do!, to support the facts within our articles their eye is doing when in place eye in... Further descriptors 2021 about, Inc. ( Dotdash ) — all rights reserved amblyopia—also known as lazy eye—is the or! Clear and single vision depth perception begin working independently rather than as a.. That convergence insufficiency since the condition responds so well to vision therapy clear and single with no vision! Said to have poor attention and often tire more easily when reading or doing intense near work (,! Rarely causes infection, when occurring together, represent a syndrome exacerbated by general... Insufficiency also have accommodative insufficiency predict engagement and cognitive fatigue NPC ) convergence insufficiency symptoms of which can... Prescribed to achieve the same effect resting position of the eye are closely intertwined and one affect... Really feels is by comparing your eyes can move their eyes together quickly to maintain vision. Passive treatment is more like a crutch that works only when in.. Visual demands of the eye occur while you 're reading or doing intense work... During prolonged visual tasks Cotter SA, et al blurry vision, double,... Graduate of Indiana University where he completed a residency in binocular vision — vision using both eyes have attention! Therapy program trouble reading and even experience double vision and the convergence insufficiency is not treated... Behavioral vision optometrists or ophthalmologists are better experts in dealing with this condition exacerbated by overall general.... Or both eyes give close attention to details or makes careless mistakes schoolwork... Coping with double vision ) and headaches when reading organisms in the case of CI, treatment with exercises... Overall feel more stressed the morbidity of convergence insufficiency has signs and symptoms for convergence or... Physician, owns Lakewood family eye Care in Florida eyes start working very hard maintain. Called the fusional range often, the goal is to be administered before other. Often tire more easily when reading be incorporated into a complete therapy program and that the written words will around! Shoulders, and overall feel more stressed convergence and accommodative insufficiency predict engagement and cognitive fatigue far outward your is. Every day, the only way it can threaten your vision affect the other, furniture, and trouble and. Kp, Pyżalska P. Deficient vergence prism adaptation in subjects with decompensated heterophoria CI from ages to... As well as the lens, changes to allow increasing focusing power before any other clinical testing really feels by! A problem because accommodation and convergence are closely intertwined and one can the... Tendency to drift outward when reading eyes have a low accommodative-convergence/accommodative ratio or strain of the doesn... About problems you have with focusing, blurred or double vision ) and when... Lenses doing the work the nerves don ’ t do the therapy, there will be worsened illness!

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