Optical lenses that are typically prescribed for correcting a refractive error, are not an effective method when it comes to treating CI. When reading, people with convergence insufficiency frequently lose their place or have to re-read text. The Optometrists Network is the most visited online platform for evidence-based research and the latest on clinical eye care management. This article will explain the most effective treatments for CI, and help you to understand why they are most effective. But how can it be treated? For people who have just learned to live with it, there’s good news. Patching was thought to be effective in treating CI as it causes the deviated eye to work harder to converge, while the second eye is covered. That’s because you can have normal vision with the condition, so you can pass a normal eye chart exam. A program of vision therapy may be needed to improve eye coordination abilities, reduce symptoms, and alleviate discomfort when doing close work. Six RCTs in the adult population randomized 321 participants. In convergence insufficiency, movements of one eye don’t line up exactly with the movements of the other. It often leads to loss of concentration/attention when reading. 1 In a comparison of base in prism (based on Sheard’s criteria) vs. placebo glasses, base in prism reading glasses were found to be no more effective than placebo in alleviating symptoms, improving the near point of convergence or improving positive … Convergence Insufficiency is often described as an “inability to converge on a near target”, however, it is actually a problem knowing where to look. Obviously, reading requires development of this skill, since most reading is done at a relatively close distance. The eye muscles in people with CI work normally. Learn how undetected vision problems can impact a child's ability to learn. eye focusing and/or eye movement problems). Divergence is the opposite of convergence. Sometimes children and young adults with convergence insufficiency also have accommodative insufficiency. Generally, computer vision therapy is more effective than other home exercises. In convergence insufficiency, eye misalignment occurs when focusing at near target. Convergence may be thought of as the ability to cross the eyes; as funny as this may sound, we do need this ability every time we perform tasks like reading or using a computer. This treatment won’t correct convergence insufficiency. If you are experiencing symptoms of CI, and don’t know what to do next, the first step is to schedule an eye exam for a comprehensive evaluation of your functional vision, and to determine if convergence insufficiency is affecting your clear and comfortable vision. When base-in prism reading glasses were compared with placebo reading glasses, investigators found no evidence of a difference in the three outcome measures of near point convergence (NPC), positive fusional vergence (PFV), or symptom scores measured by the Convergence Insufficiency Symptom Survey (CISS). A program of Vision Therapy may be needed to improve eye coordination abilities and reduce symptoms and discomfort when doing close work. The Vision Therapy Process A developmental optometrist and vision therapist will tailor a vision therapy plan according to the severity of the convergence problem. The muscle in the eye, as well as the … Vision Therapy for Fatigue: Success Stories, Vision Therapy: Additional Evidence-Based Research. Be sure to tell your doctor if you develop new or worse symptoms. One or both eyes tend to drift outward when reading or doing close work. Of Ophthalmology NCH-Surat. 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