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Convergence insufficiency and its current treatment.
1Department of Pediatric Ophthalmology, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. jbl123@verizon.net
Current Opinion in Ophthalmology
|July 17, 2010
Summary
Intensive orthoptic therapy is the most effective treatment for convergence insufficiency. Other methods like pencil push-ups and base-in prism glasses may supplement treatment or manage symptoms in specific populations.
Area of Science:
- Ophthalmology
- Optometry
- Vision Science
Background:
- Convergence insufficiency (CI) management has been debated, with recent studies comparing common treatments.
- Significant scientific literature now exists comparing the effectiveness of various CI interventions.
Purpose of the Study:
- To review recent research on convergence insufficiency (CI) and its treatment options.
- To synthesize findings from large-scale clinical trials on CI management.
Main Methods:
- Review of recent scientific literature and placebo-controlled, randomized clinical trials.
- Comparison of the efficacy of base-in prism glasses, pencil push-ups, and vision therapy for CI.
Main Results:
- Large-scale randomized clinical trials have recently been published for CI treatments.
- Orthoptic therapy demonstrated the highest efficacy in reducing CI signs and symptoms compared to other methods.
Conclusions:
- Intensive orthoptic therapy is the primary treatment for convergence insufficiency.
- Pencil push-ups and accommodative targets can be adjuncts within an intensive orthoptic program.
- Base-in prism glasses are best suited for symptom reduction in presbyopic individuals.
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