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The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others.
Among the resulting 36 subjects aged 6–30 years, many had regained binocular vision (56% according to an evaluation with Bagolini striated glasses, 39% with Titmus test, 33% with Worth 4-dot test, and 22% with Random dot E test) and 57% had stereoacuity of 200 sec of arc of better, leading to the conclusion that some degrees of stereopsis can ...
Used to assess binocular functions; Can confirm presence of microtropia; Proves the presence or absence of normal (bifoveal) binocular single vision - thereby revealing if there is a central or paracentral suppression scotoma; The prism can be mounted in a frame with a handle attached; Test can be performed at any fixation distance - near or far
Apart from testing binocular functions, Bagolini striated glasses can measure cyclotropia.The principle of the test is similar to that of double Maddox rod test. The glasses are placed in the trial frames with the striations vertical, giving rise to two horizontal line images when viewing a spotlight.
Prism spectacles incorporate higher power prisms, with variable shapes and designs. The Gottlieb button prism, and the Peli superior and inferior horizontal bands are some proprietary examples of prism glasses. These high power prisms "create" artificial peripheral vision into the non-blind field for obstacle avoidance and motion detection.
Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is often required. A common form of exotropia is known as "convergence insufficiency" that responds well to orthoptic vision therapy including exercises. This disorder is characterized by an inability of ...