In convergence insufficiency, this point recedes more than 12 cm away. Exercises include: Divergence, Convergence, Jump Vergence, Jump Vergence Random, Vergence (Base-Up), Vergence (Base-Down). Below you will find information about convergence, including convergence insufficiency, and activities to improve convergence skills. Exercise Steps. CVS2 is the perfect way to offer vergence exercises to your patient that is entertaining, economical and efficacious. Jump convergence and dotted card are the other exercises for Convergence Disorder or Convergence Insufficiency. Smooth Convergence With your head straight, slowly and smoothly pull the target towards your nose, making sure it stays single. The concise manual outlines the exercise regimens and Help Menus are available for all exercises. The weakness of convergence can occur in individuals involved with a lot of near or computer work or those who suffer from any systemic illness. Burian classified intermittent exotropia into three types: basic exotropia (BE), DE, and convergence insufficiency (CI). 16 In basic exotropia, the distance deviation is within 10 pd of the near deviation. Divergence insufficiency, a benign condition, must be differentiated from divergence paralysis and sixth nerve palsy, two conditions that present with somewhat similar findings yet have underlying etiologies of a serious nature. But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability. DE can be further classified intro true vs. simulated divergence excess. The prevalence of DE is approximately 0.03 percent of the population, and it is more common in women (60-70% of cases) and those of African ancestry. They are all attributed to either anomalies of the AC/A ratio or anomalies of the fusional convergence or divergence amplitudes. In DE, the distance deviation is greater than near by 10 pd. Treatment, which can take place in the office with a trained therapist or at your home, might include: Pencil pushups. These activities can be used by occupational therapists in treatment as indicated by vision screening and based on the individual needs of the child as determined by assessment. If convergence insufficiency isn't causing symptoms, you generally don't need treatment. Great discrepancies are often encountered between the distance fixation and the near-fixation esodeviations and exodeviations. Your health care provider has determined that these exercises are beneficial to you based on your condition at this time. Brock String Convergence Insufficiency Exercise - 2 - Disclaimer: This document contains instructions for occupational and/or physical therapy exercises developed by the University of Michigan Health System (UMHS). Simple eye exercises can help in the treatment of a condition called strabismus, also known as crossed eyes. We report a case with pseudoconvergence insufficiency and another one with pseudoaccommodative convergence excess. Divergence Excess: Divergence excess (DE) can be described clinically as exophoria or exotropia at far greater than the near deviation by at least 10 prism diopters (PD). Pencil pushup exercises are the first choice of treatment for Convergence Disorder or Convergence Insufficiency. The exercises I have been given Date Exercise Minutes Times per day. Patients’ completing a course of exercises for convergence insufficiency benefit by being able to read and focus more comfortably. Insufficiency. As soon as the target goes double, stop The exercise described below can help improve the convergence over a period of 4 to 8 weeks. If the affected individual is motivated, the prognosis/ outcome for successful treatment of Convergence Disorder or Convergence Insufficiency is outstanding. 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