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Tests and diagnosis
By Mayo Clinic staffPeople with convergence insufficiency may have otherwise normal or "20-20" vision, and the condition may not be detected during a routine eye exam. To diagnose convergence insufficiency, your eye doctor may do the following, including special eye-focusing tests:
- Take a medical history. This may include questions about problems you have with focusing, blurred or double vision, headaches, and other signs and symptoms.
- Measure the near point of convergence (NPC). This test measures the distance from your eyes to where both eyes can focus without double vision. For this simple test, the examiner holds a small target, such as a glass ball, printed card or penlight, in front of you and slowly moves it closer to you until either you experience double vision or the examiner recognizes that your eyes can no longer focus together.
- Assess positive fusional vergence (PFV). During this test, you're asked to read letters on an eye chart while looking through prism lenses. The examiner will note when you begin to have double vision.
- Perform a routine eye exam. If you have any other vision problems, such as nearsightedness, your ophthalmologist or optometrist may conduct tests to assess the degree of the problem.
References
- Lavrich JB. Convergence insufficiency and its current treatment. Current Opinion in Ophthalmology. 2010;21:356.
- Scheiman M, et al. Non-surgical interventions for convergence insufficiency. Cochrane Database of Systematic Reviews. 2011;(3)CD006768. http://www2.cochrane.org/reviews. Accessed May 27, 2011.
- Convergence insufficiency. American Association for Pediatric Ophthalmology and Strabismus. http://www.aapos.org/terms/show/38. Accessed May 27, 2011.
- Serna A, et al. Treatment of symptomatic convergence insufficiency with a home-based computer orthoptic exercise program. Journal of the American Association for Pediatric Ophthalmology and Strabismus. 2011;15:140.
- Convergence Insufficiency Treatment Trial Study Group. Randomized clinical trial of treatments for symptomatic convergence insufficiency in children. Archives of Ophthalmology. 2008;126:1336.
- Scheiman M, et al. Treatment of convergence insufficiency in childhood: A current perspective. Optometry and Vision Science. 2009;86:420.
- Scheiman M, et al. Vision therapy/orthoptics for symptomatic convergence insufficiency in children: Treatment kinetics. Optometry and Vision Science. 2010;87:593.
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