Exercise Steps. Your health care provider has determined that these exercises are beneficial to you based on your condition at this time. Insufficiency. DE can be further classified intro true vs. simulated divergence excess. In convergence insufficiency, this point recedes more than 12 cm away. 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. Patients’ completing a course of exercises for convergence insufficiency benefit by being able to read and focus more comfortably. Learn how to perform these exercises at home. If the affected individual is motivated, the prognosis/ outcome for successful treatment of Convergence Disorder or Convergence Insufficiency is outstanding. If convergence insufficiency isn't causing symptoms, you generally don't need treatment. Below you will find information about convergence, including convergence insufficiency, and activities to improve convergence skills. Burian classified intermittent exotropia into three types: basic exotropia (BE), DE, and convergence insufficiency (CI). In DE, the distance deviation is greater than near by 10 pd. 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. 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. 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. Jump convergence and dotted card are the other exercises for Convergence Disorder or Convergence Insufficiency. Orthoptics Queen Elizabeth Hospital Birmingham Mindelsohn Way, Edgbaston, Birmingham B15 2GW Smooth Convergence With your head straight, slowly and smoothly pull the target towards your nose, making sure it stays single. These are basic instructions; variations on these, plus how frequently and for how long exercises should be done will be advised by your orthoptist. But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability. CVS2 is the perfect way to offer vergence exercises to your patient that is entertaining, economical and efficacious. Pencil pushup exercises are the first choice of treatment for Convergence Disorder or Convergence Insufficiency. They are all attributed to either anomalies of the AC/A ratio or anomalies of the fusional convergence or divergence amplitudes. We report a case with pseudoconvergence insufficiency and another one with pseudoaccommodative convergence excess. 16 In basic exotropia, the distance deviation is within 10 pd of the near deviation. Great discrepancies are often encountered between the distance fixation and the near-fixation esodeviations and exodeviations. Exercises include: Divergence, Convergence, Jump Vergence, Jump Vergence Random, Vergence (Base-Up), Vergence (Base-Down). 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. 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). The concise manual outlines the exercise regimens and Help Menus are available for all exercises. 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