{"id":16719,"date":"2021-08-08T09:32:47","date_gmt":"2021-08-08T09:32:47","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=16719"},"modified":"2021-08-08T09:32:47","modified_gmt":"2021-08-08T09:32:47","slug":"vision-therapy-for-convergence-excess","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/vision-therapy-for-convergence-excess\/","title":{"rendered":"Vision Therapy for Convergence Excess"},"content":{"rendered":"<h2><b>According to the American Optometric Association, over 7% of children have convergence excess, which can undermine a child\u2019s ability to learn.<\/b><\/h2>\n<p>Extraocular muscles are a group of six muscles that surround the eyes. These muscles control how the eyes move in unison in all directions.<\/p>\n<p>The eye muscles make it possible to keep the eyes in perfect synchrony at all distances and ranges of vision throughout the day.<\/p>\n<p>To do close activities like reading, we require our eyes to converge, or glance inwards towards the nose. Double vision and eye strain might result from the eyes&#8217; inability to converge.<\/p>\n<h2><b>What is convergence excess?<\/b><\/h2>\n<p><b>Convergence excess is an eye condition where the eye muscles are imbalanced, causing them to not operate together properly\u2014 instead, one eye aims too close or in front of the other eye.<\/b><\/p>\n<p>This means that the eye muscle coordination system must work harder to maintain alignment.\u00a0 Extraocular muscles can become so overworked that they can no longer support single, binocular vision.<\/p>\n<p><b>Convergence excess results in diplopia (double vision), fatigue, headaches or migraines.\u00a0<\/b><\/p>\n<p>In people with convergence excess, the brain tries to suppress double vision by \u2018turning off\u2019 the vision from one eye.<\/p>\n<p>Untreated convergence excess can result in a<a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-lazy-eye\/treating-amblyopia-a-new-way\/lazy-eyes-are-not-lazy\/\"> lazy eye<\/a> or an eye turn known as <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/esotropia-inward-eye-turn\/\">esotropia<\/a>.<\/p>\n<h2><b>What is esotropia?<\/b><\/h2>\n<p>Esotropia, a form of convergence excess, is a form of eye turn, where one eye turns too far inward compared to the other eye.<\/p>\n<p>Copying from the chalkboard can be difficult for children with convergence excess. Furthermore, when children move a book closer or farther away to improve their vision, they are actually attempting to ease their convergence excess difficulties.<\/p>\n<p>When these children get close enough to the page, they may utilize only their stronger eye to avoid the confusion and strain of having to use both eyes at the same time.<\/p>\n<p>This excess of convergence is frequently linked to <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-for-school\/what-are-low-plus-lenses\/accommodative-dysfunction\/\">accommodative dysfunction<\/a>. The eyes are directed closer in than desired in an attempt to compensate for lower focusing strength, creating eye fatigue.<\/p>\n<p><b>If you\u2019ve noticed your child moving closer to a page when reading, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact an eye doctor near you<\/a> to evaluate their vision.<\/b><\/p>\n<p><strong>SEE RELATED:<\/strong><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/understanding-convergence-insufficiency\/\"> Understanding Convergence Insufficiency<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Signs of convergence excess<\/b><\/h2>\n<p>Convergence excess is characterized by symptoms experienced while conducting close work on a computer or reading. Blurred vision at a distance is also a possibility. Convergence excess causes any combination of the following symptoms, which generally get worse as the day progresses:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Blurred vision<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Difficulty concentrating<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Difficulty with reading comprehension<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Double vision<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Eye strain<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Feeling tired while reading<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Headaches<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Slow reading<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Words moving on the page<\/li>\n<\/ul>\n<h2><b>Vision therapy for convergence excess<\/b><\/h2>\n<p><b><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/what-is-vision-therapy\/\">Vision therapy<\/a> (VT) is a successful treatment for convergence excess.\u00a0<\/b><\/p>\n<p>For a greater long-term reduction of convergence excess in children, vision therapy activities have been proven to be successful.<\/p>\n<h2><b>Low plus lenses<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-for-school\/what-are-low-plus-lenses\/\">Specific eyeglasses<\/a> may be useful in lowering the amount of muscle power required to read without causing symptoms. The purpose of this type of therapy is to allow the eyes to aim naturally and without exerting too much effort.<\/p>\n<p><b>Low plus eyeglasses are a clinically proven treatment for convergence excess<\/b><\/p>\n<p>Adults benefit greatly from a mix of eyeglass lenses, <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/what-are-prism-lenses\/\">prisms<\/a>, and some VT.<\/p>\n<p>Lenses that help with focusing can make a significant impact in cases where the tendency to over-converge the eyes is greater at close range than at a distance, since when the eye focuses, it also prompts more convergence in the brain.<\/p>\n<p>Convergence decreases as the focusing effort is lowered using lenses. When there is an uncorrected refractive error, such as <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-long-sightedness\/\">farsightedness<\/a> (hyperopia), this is even more critical.<\/p>\n<p>A significant difference in vision between the two eyes, where one is more farsighted than the other, is another factor that contributes to <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/exophoria-and-esophoria\/\">esophoria<\/a>. <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-lazy-eye\/amblyopia-lazy-eye\/\">Amblyopia<\/a> can be caused by high <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-astigmatism\/\">astigmatism<\/a> in one eye, which adds to imbalanced ocular muscles.<\/p>\n<h2><b>Prism lenses<\/b><\/h2>\n<p>Prisms are used in vision therapy to strengthen the eye muscles. When a prism is placed in front of one eye, it must move in order to maintain focus on a target.<\/p>\n<p>When prisms are used in eyeglass lenses, they allow the eyes to be in their most natural position, resulting in continuous, single vision.<\/p>\n<p><strong>LEARN MORE:<\/strong> <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/\">Vision Therapy for Children<\/a><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment<\/a> with an eye doctor near you to find out if vision therapy can help treat your convergence excess.<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to the American Optometric Association, over 7% of children have convergence excess, which can undermine a child\u2019s ability to learn. Extraocular muscles are a<\/p>\n","protected":false},"author":1206,"featured_media":16720,"parent":1175,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-16719","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vision Therapy for Convergence Excess - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/vision-therapy-for-convergence-excess\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vision Therapy for Convergence Excess - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"According to the American Optometric Association, over 7% of children have convergence excess, which can undermine a child\u2019s ability to learn. 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