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Treatment of symptomatic convergence insufficiency with a home-based computer orthoptic exercise program
Angela Serna1, David L Rogers, Mary Lou McGregor
1Nationwide Children's Hospital, Department of Ophthalmology, Columbus, Ohio, USA.
Summary
Home-based computer orthoptic exercises effectively treat symptomatic convergence insufficiency. This program improved near point of convergence and reduced patient symptoms, offering a viable treatment option.
Area of Science:
- Ophthalmology
- Vision Science
- Orthoptics
Background:
- Symptomatic convergence insufficiency (CI) is a common condition causing discomfort during near work.
- Effective treatment options for CI are crucial for improving patients' quality of life.
Purpose of the Study:
- To evaluate the efficacy of a home-based computer orthoptic program for treating symptomatic convergence insufficiency.
Main Methods:
- Retrospective review of 42 patients with symptomatic CI treated with a computer orthoptic program.
- Symptomatic CI defined by near point of convergence (NPC) >6 cm, reduced positive fusional vergence, and near exophoria.
- Patients received the Computer Orthoptics CVS program, with some initially using base-in prisms and push-up exercises.
Main Results:
- Significant improvement in mean NPC from 24.2 cm to 5.6 cm (p < 0.001).
- 92.8% of patients achieved an NPC of ≤6 cm and showed improved positive fusional vergence.
- 64.2% of patients reported resolution of symptoms, including asthenopia and diplopia.
Conclusions:
- Home-based computer orthoptic exercises are effective in improving NPC and fusional amplitudes.
- The computer orthoptic program offers a successful treatment modality for symptomatic convergence insufficiency.
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