In Convergence Insufficiency: Part 1 we discussed the signs and symptoms of convergence insufficiency, a common eye teaming deficit. 1. Cooper, J. With CI, the eyes do not point together inward as one looks at objects close-up. What treatment is available? It often goes undiagnosed. Convergence insufficiency is a common vision disorder in which a person's eyes tend to drift outwards when they try to use their eyes together up close. Symptoms may include eye strain, headaches, double vision, print moving on the page, frequent loss of place when reading, inability to concentrate, and short attention span. Activities to Improve Convergence Skills **DISCLAIMER** I am … All four CITT RCTs were rated at low risk of bias. Convergence Insufficiency (CI) is a common binocular (two-eyed) vision disorder in which the eyes do not work at near easily. Convergence insufficiency is a common binocular vision disorder in which the eyes have a strong tendency to drift outward (exophoria) with difficulty turning the eyes inward when reading or doing close work. In the Convergence Insufficiency Treatment Trial (CITT),1 the patient answers each question with the following: never, infrequently, sometimes, fairly often, and always. Arch. Stage Design - A Discussion between Industry Professionals. Current studies in the form of randomized control trials (RCT) indicate that office-based therapy together with home therapy is the most effective treatment at reducing symptoms and clinical findings. Convergence Insufficiency (CI) is characterized by a decreased ability to converge the eyes and maintain binocular fusion while focusing on a near target. Vis. Six studies were conducted in children aged seven to 18 years, five studies in young adults aged 15 to 40 years, and one study in adults aged 40 years and older. Convergence insufficiency treatment exercises may use specialized equipment and tools such as prisms, lenses, and computerized technology, to stimulate the brain to better control the two eyes simultaneously. In adults, evidence of the effectiveness of various non-surgical interventions is less clear. Doctors who do … Arch. Of these, the Convergence Insufficiency Treatment Trial (CITT) Investigator Group completed four RCTs with 737 participants. Enrollment began in August 2015 and will end in March 2017. Convergence insufficiency (CI) is a neuromuscular deficiency of binocular eye alignment (Grisham, 1988) characterized by a reduction in the degree of convergence or the inability to maintain the necessary convergence of the eyes on a near target while keeping this target single, clear, and comfortable to look at.CI is associated with a wide range of symptoms, … Normally eye exercises, which can be practised at home, are recommended. The four CITT RCTs contributed data to the pediatric NMA, incorporating interventions 1, 2, 3 and 5. Scheiman, M. et al. Your child will be shown how to do these exercises. Optom. We followed standard Cochrane methodology. 82, 583–595 (2005). The value of differentiating Convergence Insufficiency from a Pseudo-CI is catering the treatment. Search. A pulling sensation can be felt around the eyes. Ophthalmol. Exercises to treat CI work well for most people. Convergence insufficiency occurs when a child is unable to keep both eyes working together at a near distance 2. Treatment for convergence insufficiency. Acad. Convergence insufficiency treatment. When treatment … 3. Our health evidence - how can it help you. No study, in children or adults, reported any adverse effects related to study treatments. Scheiman, M. et al. Treatment of convergence insufficiency The history of convergence insufficiency treatment is more than 150 years old but nowadays the most prevalent and important treatment option are orthoptic exercises. These exercises may be prescribed by an orthoptist (a medical technician who is specifically trained in ocular muscle function and binocular vision) or by an ophthalmologist. Orthoptic therapy to increase fusional convergence amplitudes and enhance voluntary convergence is the primary treatment of convergence insufficiency. DOI: 10.1002/14651858.CD006768.pub3. High-certainty evidence indicates that, office-based therapy with home reinforcement is more effective than home-based pencil push-ups, home-based computer therapy, and placebo for treating convergence insufficiency in children. Symptoms often associated with poor convergence. The study also evaluates the associated symptoms before and after therapy. A randomized clinical trial of vision therapy/orthoptics versus pencil pushups for the treatment of convergence insufficiency in young adults. Convergence insufficiency is a condition in which the visual system is unable to obtain or maintain convergence adequate for comfortable binocular vision, especially at near distance. Convergence insufficiency affects how someone feels while performing near tasks: Headaches, especially in the front of the head or 'behind' the eyes. Please note, this page is printable by selecting the normal print options on your computer. All four CITT RCTs were rated at low risk of bias. Finally, we assessed how certain the evidence was by considering factors such as the way studies were conducted, the number of people in the studies, and the consistency of findings across studies. Ophthalmol. With convergence insufficiency … Copyright © 2021 The Cochrane Collaboration. But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability. Overtime, the more you train your brain, the easier and more … Eyes (or the person) feels tired or fatigued after a short amount of near work. Active treatment: A multi-site randomized clinical trial funded by the National Eye Institute called the Convergence Insufficiency Treatment Trial showed: The best treatment for CI is supervised vision therapy in a clinical office with home reinforcement (15 minutes of prescribed vision exercises done in the home five days per week). Standard eyeglasses, contact lenses, medications or surgery can not fix Convergence Insufficiency. A person can pass the 20/20 eye chart test and still have convergence insufficiency. Eyes feel sore, uncomfortable or hurt. Ophthalmol. Patients often complain of eye strain when … If the affected individual is motivated, the prognosis/ outcome for successful treatment of Convergence Disorder or Convergence Insufficiency … When treatment success was defined as the composite convergence and symptom success outcome, we found moderate-certainty evidence that participants who received office-based vergence/accommodative therapy with home reinforcement were 5.12 (95% CI 2.01 to 13.07) times more likely to achieve treatment success than those who received placebo therapy. Computer … to diagnose convergence insufficiency. The etiology of isolated CI, not related to trauma or neurological disease, has not been completely determined. Immediate, accurate, consistent and unbiased feedback is provided by the computer, regarding correct and incorrect responses. Concussion Treatment: Convergence Insufficiency . Sci. We found 12 studies with a total of 1289 people with convergence insufficiency. For adults, the comparative effects of these interventions are less clear. Patients’ completing a course of exercises for convergence insufficiency benefit by being able to read and focus more comfortably. These activities can be used by occupational therapists in treatment as indicated by vision screening and based on the individual needs of the child as determined by assessment. Convergence Insufficiency Treatment Trial Study Group. Chic. When reading, people with convergence insufficiency frequently lose their place or have to re-read text. Computerized vision therapy procedures have important advantages over traditional techniques: 1. Cooper, J. But for people with signs, treatment with eye-focusing exercises can high the eyes’ convergence ability. Background: Convergence insufficiency (CI) is one of the most common causes of ocular discomfort among students that it may have a negative effect on the student's school performance. Primary CI is thought to be caused by an imbalance of vergence eye movements that is either an inborn deficiency or an acquired etiology. Convergence insufficiency is a vision problem where the two eyes don't work together in unison the way they should. Convergence describes the way our eyes move together and point inward when we look at near objects. What are the benefits of the exercises? Optom. Results in children According to the NEI research, 75 percent of the study’s participants obtained either full vision correction or noticed a significant vision improvement within 12 weeks of in … Search. Diagnostic criteria and outcome measures were identical or similar among these trials. During this simple workout, you centre on a tiny letter on the edge of a pencil while you move it nearer to the point of your nose, ending the movement when you hold double vision . Ways to treat Convergence Insufficiency include prism readers and vision therapy. 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