{"id":279,"date":"2020-04-06T13:48:04","date_gmt":"2020-04-06T13:48:04","guid":{"rendered":"https:\/\/www.optometrists.org\/wordpress\/?page_id=279"},"modified":"2021-08-10T11:48:18","modified_gmt":"2021-08-10T11:48:18","slug":"convergence-insufficiency-treatment-trial","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/convergence-insufficiency-treatment-trial\/","title":{"rendered":"Effective Treatment for Convergence Insufficiency"},"content":{"rendered":"<h2><strong>Clinical research study shows the effectiveness of vision therapy for the treatment of Convergence insufficiency (CI).<\/strong><\/h2>\n<p>Convergence is an essential visual skill for success in today&#8217;s classroom and sports field. This skill enables the ability to focus on near tasks such as reading, for clarity of vision.<\/p>\n<p>Children with <a href=\"https:\/\/www.optometrists.org\/vision-therapy-for-children\/convergence-insufficiency-2\/\">convergence insufficiency (CI)<\/a> have difficulty converging their eyes easily, and as a result, additional effort is required to focus on reading, and other near vision tasks\u2014 and to maintain focusing ability for an extended period of time.<\/p>\n<h2><strong>What are the symptoms of CI?<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\">Loss of place<\/li>\n<li style=\"font-weight: 400;\">Loss of concentration<\/li>\n<li style=\"font-weight: 400;\">Reading below grade level<\/li>\n<li style=\"font-weight: 400;\">Eyestrain<\/li>\n<li style=\"font-weight: 400;\">Headaches<\/li>\n<li style=\"font-weight: 400;\">Blurry vision<\/li>\n<li style=\"font-weight: 400;\">Double vision<\/li>\n<\/ul>\n<p><strong>If your child experiences one of the above symptoms,<\/strong> <a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>contact an eye doctor near you.<\/strong><\/a><\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/convergence-insufficiency-treatment-trial\/can-glasses-or-eye-patches-treat-convergence-insufficiency\/\">Can Glasses or Eye Patches Treat Convergence Insufficiency?<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor for children 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>Convergence insufficiency treatment trial (CITT)<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/how-is-convergence-insufficiency-diagnosed\/\">Convergence insufficiency can only be detected and diagnosed during an eye examination<\/a>, said principal investigator of the CITT, Prof Mitchell Scheiman, O.D., Chief, Pediatric Binocular Vision Service at The Eye Institute of the Pennsylvania College of Optometry.<\/p>\n<p>While the majority of eye care professionals treat children diagnosed with CI using some form of home-based therapy, this<strong>\u00a0study concludes that office-based treatment by a trained therapist along with at-home reinforcement is more effective<\/strong>. The research, reported in the Archives of Ophthalmology, was funded by the National Eye Institute (NEI) as part of the National Institutes of Health.<\/p>\n<h3><b>Background\u00a0<\/b><\/h3>\n<p>The 12-week study, known as the <b>Convergence Insufficiency Treatment Trial (CITT)<\/b>, found that approximately 75 percent of those who received in-office therapy by a trained therapist plus at-home treatment reported a resolution of the condition with fewer and less severe symptoms related to reading and other near work.<\/p>\n<p>This NEI-funded study compared the effectiveness of treatment options for convergence insufficiency, said Paul A. Sieving, M.D., Ph.D., director of the NEI. The CITT will provide eye care professionals with the research they need to assist children with this condition.<\/p>\n<h3><b>Method<\/b><\/h3>\n<p>The CITT included 221 children aged 9 to 17. For the purpose of the study, the children were divided into four groups to compare three different types of vision therapy, and an additional placebo therapy option.<\/p>\n<ol>\n<li style=\"font-weight: 400;\">Group 1 used the treatment option known as \u2018pencil push-ups\u2019, an exercise in which patients visually followed a small letter on a pencil as they moved the pencil closer to the bridge of their nose. The goal was to keep the letter clear and single, and to stop if it appeared double.<\/li>\n<li style=\"font-weight: 400;\">Group 2 used only home-based pencil push-ups with additional computer vision therapy.<\/li>\n<li style=\"font-weight: 400;\">Group 3 attended weekly hour-long sessions of office-based vision therapy with a trained therapist and performed at-home reinforcement exercises.<\/li>\n<li style=\"font-weight: 400;\">Group 4 was given placebo vision activities designed to simulate office-based therapy.<\/li>\n<\/ol>\n<h3><b>Results<\/b><\/h3>\n<p>After 12 weeks of treatment, normal vision or significantly reduced CI symptoms were recorded in:<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Nearly 75 percent of children who were given the office-based vision therapy, along with at-home reinforcement (group 3)\u00a0<\/b><\/li>\n<li style=\"font-weight: 400;\">Only 33 percent of patients who used home-based pencil push-ups plus computer therapy (group 2)<\/li>\n<\/ul>\n<h3><b>Conclusion<\/b><\/h3>\n<p><strong>This study shows that <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/convergence-insufficiency-2\/convergence-insufficiency-treatment-trial\/can-glasses-or-eye-patches-treat-convergence-insufficiency\/\">CI can be successfully treated<\/a> with office-based vision therapy with the guidance and monitoring of a trained therapist, along with at-home reinforcement.<\/strong><\/p>\n<p>This is very encouraging news for parents, educators, and anyone who may know a child diagnosed with CI.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0\u00a0<a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-children\/&amp;source=gmail&amp;ust=1626937013539000&amp;usg=AFQjCNFqAGUJTsT9lGAgUseC1LZLz74rRQ\">Vision Therapy for Children<\/a><\/p>\n<p><em><a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/practice-search\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/practice-search\/&amp;source=gmail&amp;ust=1626937013539000&amp;usg=AFQjCNEQAXRQCIQLnaWSAkLThSN6873C7g\">Schedule an appointment<\/a> with an eye doctor for a comprehensive eye exam, and to discuss any questions you may have how to help your child.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clinical research study shows the effectiveness of vision therapy for the treatment of Convergence insufficiency (CI). Convergence is an essential visual skill for success in<\/p>\n","protected":false},"author":4,"featured_media":5309,"parent":1175,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[111,126,226,127,125,103,92,83],"class_list":["post-279","page","type-page","status-publish","has-post-thumbnail","hentry","tag-convergence","tag-double-vision","tag-fatigue","tag-headaches","tag-near-vision","tag-reading","tag-research","tag-vision-therapy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Effective Treatment for Convergence Insufficiency - 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\/convergence-insufficiency-treatment-trial\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Effective Treatment for Convergence Insufficiency - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Clinical research study shows the effectiveness of vision therapy for the treatment of Convergence insufficiency (CI). 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