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. Burian classified intermittent exotropia into three types: basic exotropia (BE), DE, and convergence insufficiency (CI). Great discrepancies are often encountered between the distance fixation and the near-fixation esodeviations and exodeviations. The exercises I have been given Date Exercise Minutes Times per day. Simple eye exercises can help in the treatment of a condition called strabismus, also known as crossed eyes. DE can be further classified intro true vs. simulated divergence excess. 16 In basic exotropia, the distance deviation is within 10 pd of the near deviation. But for people with symptoms, treatment with eye-focusing exercises can increase the eyes' convergence ability. Below you will find information about convergence, including convergence insufficiency, and activities to improve convergence skills. Treatment, which can take place in the office with a trained therapist or at your home, might include: Pencil pushups. Orthoptics Queen Elizabeth Hospital Birmingham Mindelsohn Way, Edgbaston, Birmingham B15 2GW Insufficiency. They are all attributed to either anomalies of the AC/A ratio or anomalies of the fusional convergence or divergence amplitudes. CVS2 is the perfect way to offer vergence exercises to your patient that is entertaining, economical and efficacious. Exercises include: Divergence, Convergence, Jump Vergence, Jump Vergence Random, Vergence (Base-Up), Vergence (Base-Down). Patients’ completing a course of exercises for convergence insufficiency benefit by being able to read and focus more comfortably. 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. If convergence insufficiency isn't causing symptoms, you generally don't need treatment. Learn how to perform these exercises at home. These are basic instructions; variations on these, plus how frequently and for how long exercises should be done will be advised by your orthoptist. In DE, the distance deviation is greater than near by 10 pd. 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). Your health care provider has determined that these exercises are beneficial to you based on your condition at this time. 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. Pencil pushup exercises are the first choice of treatment for Convergence Disorder or Convergence Insufficiency. The exercise described below can help improve the convergence over a period of 4 to 8 weeks. Smooth Convergence With your head straight, slowly and smoothly pull the target towards your nose, making sure it stays single. 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. In convergence insufficiency, this point recedes more than 12 cm away. If the affected individual is motivated, the prognosis/ outcome for successful treatment of Convergence Disorder or Convergence Insufficiency is outstanding. 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