What is the most effective treatment for convergence insufficiency in children?
When comparing various clinical treatments for a medical condition such as convergence insufficiency, the gold standard research method is referred to as a RANDOMIZED CLINICAL TRIAL. Until recently there were no randomized clinical rials available in the ophthalmic literature about treatment of convergence insufficiency. Fortunately since 2005 two such studies have been published. The results of theses studies clearly indicates that office-based vision therapy with home reinforcement is the most effective treatment for convergence insufficiency. These studies (link) showed that office-based vision therapy was ore effective than either home-based pencil push-ups or home-based computer vision therapy. The studies also used a placebo control to rule out the placebo effect. The 2008, large scale study (link) demonstrated that about 75% of the children in the office-based vision therapy group were classified as “successful” or” improved” after 12 weeks of therapy compared to only 43%, 33%,
