Convergence Insufficiency Flashcards
Exercises for covergence insufficiency
Push up tests- push pencil- maintain sv
If accom also needs training- then target should be accommodative
Also do jump exercises- look N to D
Train base OUT fusion range
Manage convergence insufficiency by:
Full Rx
Addition of - lenses
Exercises
If secondary. find reason
Anti suppression exercises- need this for push up exercises to work
Vertical septum
Vertical prisms
Red filters
Red green goggles
Types of Diplopia
When looking at D- N is
When looking at N- D is
Crossed N when D is fixed
Uncrossed of D when N is fixed
What’s a dot card
It's 30cm. And basically dots .......... Hold it at end of nose Start from furthest And keep each dot clear The test we made Eesa do Dot above &below what ur looking at will probs be doubled. But fine as it means no suppression For convergence insufficiency
Whats a stereogram
To train convergence and fusion. Use for CI
Hold card at 33cm
It’s of 2 similar pics
U hold a near object infront of card. And look at this n object
DONT LOOK AT CARD
Change the position of this target till u see 3 images
Institute free space stereogram
Another stereogram test. For CI. The ones further away are more diff to fuse. Again looking at N object and for three images. It’s basically circles which get further apart down the card. I wish this app could upload images- my other one could. Here is your how to improve
Eye exercise Px.
Should be motivated, maybe they have sx which motivates them. U should be motivated. They should be healthy and well and can understand u. Review them regularly. If they have suppression- treat that
When you’ve explained clearly. Also give written instructions
Watch them do it
Then tell them to do it at home 15mins each evening
Sx may appear worse initially####
After exercise let eye relax by either looking in D or closing eyes
Regularly review these Px
Motivate them lots and lots and lots
Convergence insufficiency if you had to put a prism. Which would u choose
CI usually exophoria. So need BASE IN
Mallet unit tells us the amount of prism
Prism usually for Px already got rx and don’t really do exercises. One study showed it didn’t improve any more than exercises.
How would u manage convergence paralysis
Treat any pathology Botulinum toxin Occlusion Base IN Surgery
How would u manage accommodative insufficiency
Correct any rx- do cyclo? For reading- rx either SV Bifs or Progs Eye exercises ? If pathology- treat that Miotics ? Increase depth of focus
Which exercises for accommodative insufficiency ? Also these are used for accommodative fatigue.
Accommodative push ups
-mono and bino
-letters on lolly- bring closer and keep clear
Give flippers
-increase cycles per min
-start on a low flipper +/-1 then increase to +/-2
“For +/-2 most people get 2.7cycles per min. Half get 7.7. That’s the aim”
How would u manage accommodative fatigue
Treat any pathology
Give full rx correction
And you can also do exercises which are same as accommodative insufficiency
How would u manage accommodative inertia. U also should kno wot this is. Otherwise ur a flop
Treat any pathology
Correct rx
Bifocal reading add of +1
Eye exercises
Which eye exercises for accommodative inertia
Accommodative flippers
Push up accommodation
Jump accommodation
