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Home Exercises for Convergence Insufficiency in Children
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We read with interest the article by Scheiman et al1 entitled "A Randomized Clinical Trial of Treatments for Convergence Insufficiency in Children" in the January issue of the ARCHIVES. Scheiman and colleagues compared vision therapy/orthoptics with pencil push-ups and placebo vision therapy/orthoptics. We wish to point out that although pencil push-ups are the most frequently advised home convergence exercise, there is a lack of consensus regarding the most appropriate home-based convergence exercise. There is difference of opinion regarding the exact procedure of pencil push-ups and their effectiveness as compared with other home-based exercises. In pencil push-ups, the aim should be to increase both the phasic and tonic control of convergence. For this purpose, apart from increasing the fusional amplitude, convergence sustenance should also be stressed.2-4 Convergence insufficiency can be confirmed by noting the near point of convergence and measuring the fusional convergence amplitude with synoptophore or prisms. A . . . [Full Text of this Article]
AUTHOR INFORMATION
Harinder Singh Sethi, MD, FRCS;
Rohit Saxena, MD;
Pradeep Sharma, MD;
Ankur Sinha, MD
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RELATED ARTICLE
A Randomized Clinical Trial of Treatments for Convergence Insufficiency in Children
Mitchell Scheiman, G. Lynn Mitchell, Susan Cotter, Jeffrey Cooper, Marjean Kulp, Michael Rouse, Eric Borsting, Richard London, Janice Wensveen, and for the Convergence Insufficiency Treatment Trial Study Group
Arch Ophthalmol. 2005;123(1):14-24.
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