Convergence insufficiency (CI) is a highly treatable binocular vision condition that affects near vision and eye muscle coordination. **DISCLAIMER** I am not an optometrist, ophthalmologist or vision therapist. Learn how visual therapy and eye exercises can improve this condition. Near-vision acuity - the ability to clearly … The distance at which diplopia occurs is noted (near point of convergence). Series Convergence or Divergence Exercises and Solutions PDF. They are also known as near point of convergence exercises. Divergence Excess Treatment is often treated differently than other types of Exotropia (outward eye turn). Kran and Duckman 11 in 1987 reviewed the evidence for eye exercises in the treatment of divergence excess exotropia. Thank you for your patience as we work to improve our site! Convergence and divergence exercises build accurate eye alignment and sensory fusion. In today’s blog I will be showing you how convergence eye exercises can be found everywhere. Hold this at eye … Weakness of convergence can be improved by exercises. Filed under strabismus, amblyopia, convergence insufficiency, double vision, lazy eye, exotropia, vision therapy, crossed eyes, esotropia, binocular vision disorders. This classification applies to strabismus rather than heterophoria, and therefore, when used in the context of heterophoria tends to … But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability. CI is usually accompanied by a reduced near point of convergence (NPC), decreased convergence amplitudes or an exodeviation (usually > 10 prism diopters) at near. The Level 1 series in Opto features colorful 3D vergence targets on a neutral smooth-gradient background. Convergence insufficiency (CI) is an eye disorder where your eyes don’t move at the same time. Teaming: Divergence. Patch Test - The patch test is used to control the tonic fusional convergence to differentiate pseudo-divergence excess from true divergence excess and to reduce the angle variability. If convergence insufficiency isn't causing symptoms, you generally don't need treatment. Her recommendation included eye exercises that took about 10 minutes per day on the computer. Eye Can Learn is enjoying a much needed facelift with new, expanded content! convergence insufficiency. You will see that the two images converge into one another, creating a third clearer image. A similar technique is used for rehabilitation: the patient is instructed to do “push-up exercises” (looking at an object intermittently moved in and out from the bridge of the nose) daily at home to decrease the near point of convergence. Relaxing exercises are crucial part of the treatment for Convergence Disorder or Convergence Insufficiency. Strabismus and amblyopia are both binocular vision disorders. How to Treat Convergence Insufficiency with Vision therapy at Home. Target vergence demands (in prism diopters) varies for each exercise. The earliest description of this type is the Duane-White classification of divergence and convergence malfunction (Borisch, 1970). Sometimes, there is an inability to converge the eyes at all, which can result in diplopia (double vision). symptoms such as headaches, eye strain, blurred vision and double vision —this is called Convergence Insufficiency. Start by holding a pencil out at arm’s length, pointing away from you. The tip of a regular Sharpie will give you the dot size you need. improvement in your convergence and to change your exercises as you progress. Apr 29, 2015 - This Pin was discovered by Joy Granade. Feb 16, 2020 - Explore Focus Eyecare's board "Convergence/Divergence & Accommodation" on Pinterest. Before we go on to the eye exercises for farsightedness, there are a few points to take note of: 1. Divergence Insufficiency Convergence Insufficiency (CI) is characterized by a decreased ability to converge the eyes and maintain binocular fusion while focusing on a near target. Convergence and Divergence, which is the ability of the eyes to move inward and outward so as to focus on an object that moves far and near. These are easy to do and can be done in place of a Brock String. (AC/A) Accommodative Convergence per diopter of Accommodation (Δ/D) Ratio: AC/A is typically 16Δ/D in a DE patient if distance and near measurements are compared But Results from recent scientific studies show that at least 1 out of every 20 people (5%) have Convergence Insufficiency. Fortunately, there is another option that often goes unmentioned to parents and patients…vision therapy! Guidelines for Eye Exercises. Several visual skills that eye exercises aimed to train are: ... Have fun with your convergence ability and divergence ability here. Our pediatric eye doctor suggested at home vision therapy for my son Kyle when he was 7 years old. Convergence insufficiency (CI) is a treatable near vision disorder and eye muscle coordination problem that can not be repaired with eye surgery, medications, standard eyeglasses, or contact lenses. Strabismus, or crossed eyes, can be treated, and the earlier the better. Convergence insufficiency is a difficulty or inability of the eyes to converge and work together at a near distance for extended periods of time, such as when reading, writing, drawing, or viewing a computer screen. Now for the exercises at home... Convergence is just a matter of getting the eyes to focus together on a close object, so you can do that by wearing an eye patch (10-20 minutes each eye, and then no patch at all) while sewing, reading, doing crafts, coloring, cooking, cutting, pasting, etc. Generally it is better to try and improve convergence by exercising the eye muscles. Divergence is the ability of the eyes to move laterally, towards the ears, to be able to see farther targets. Treatment, which can take place in the office with a trained therapist or at your home, might include: Pencil pushups. 3 Eye Exercises to Help Strabismus. The brock is a staple of vision therapy but its useful for so much more than convergence and divergence activities. Discover (and save!) Read below to find out more about convergence in kids, to understand exactly what is convergence insufficiency, and how convergence plays into functional skills and learning. Are there any alternatives to convergence exercises? This page is in development! The greater the insufficiency of convergence, the greater will be the distance of the card from the eyes when the line starts appearing double. This will keep away from problems like convergence contraction which can happen in very unusual cases if certain eye muscles do not relax adequately. EYE EXERCISES . Exercises to cure Convergence Insufficiency: If convergence insufficiency isn’t causing symptoms, you generally don’t need treatment. First, read and understand the steps of each eye exercise carefully. If you have this condition, one or both eyes move outward when you look at a nearby object. Divergence Insufficiency and Divergence Excess describe a difficulty in the ability to point both eyes at a distance target, like a the board at school or a TV screen. This Divergence Exercise Tutorial will teach you how to train your eyes' diverging (turning outward) ability. Dr. Charles Boulet and Robert Constantine, OTR\L have a great resource to teach you just how useful this simple tool can be. Convergence of the eyes occurs when the two eyes need to focus on a close object, such as a book, computer, tablet, smartphone, etc. Contrary to the earlier practice of patching one eye for 24 hrs it is now found that patching the eye for 30 min. Both can cause double vision when looking at distant objects. A great example is holding up your two index fingers and crossing your eyes. Normally eye exercises, … Anatomically, the eye and the surrounding tissues and muscles are not altered in any way. Bring the pencil as close to your nose as possible until you can no longer maintain a single image of the pencil and you shift to a double image of the pencil . They found few trials dealt specifically with divergence … It is exceedingly important to calm down the eye muscles correctly doing exercising. Most patients will complete the exercises within a few months, depending on the severity of symptoms. Convergence is the ability of the eyes to move medially, towards the nose, which allow for single vision of closer objects – the ability to cross your eyes, therefor Convergence insufficiency is the inability to do so. This condition is diagnosed by taking measurements of eye alignment at distance using several different techniques, both with and without the patient’s feedback. Convergence insufficiency occurs when a child is unable to keep both eyes working together at a near distance 2. Here is a progression of eye exercises that can be done to help improve eye control and convergence. But for people with signs, treatment with eye-focusing exercises can high the eyes’ convergence ability. Start by putting a small dot on each thumbnail 1 to 2 mm thick. When accommodation is relaxed, so is convergence. These are basic instructions; variations on these, plus how frequently and for how long exercises should be done will be advised by your orthoptist. Visual processing is a complex topic and convergence insufficiency is just one area. 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