Each therapy procedure is described in this manual. Then hold a pen half way between the card and your face. %PDF-1.4 %���� Please note, this page is printable by selecting the normal print options on your computer. Procedure 1. 3. 2 0 obj The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. How to do the exercise 1. Authors: Charles Darko-Takyi. During correct convergence, each viewed dot should be seen singly and should be steady (not wobbling). convergence weakness. Sketch a neat line in the centre and crosswise the span of a cardboard or a page of paper. Draw five or more dots equally spaced along the line with different color inks or alternating colors. What is the treatment for this condition? RESULTS: Vision therapy was successful in 61.9% of patients who received in-office plus home therapy, in 30% … 2. These fixed tranaglyph cards are a vital piece of vision therapy equipment which helps train the eyes in convergence and divergence. )2�]Ei�lR5�#H�j����4������� 0V�l|�9�q��}0����B F�wr��`�����F��;b������v2p��x3���� ��\���m���NH��؉��0)�t��N��O����� ����GA�f�Y 3��tƀ�`e�S�5p�[,e���x�jX� If your eyes are converging correctly stream It has been reported that the frequency of this anomaly has reached as high as 6% among school children and young adults and may affect their quality of life and near work performance. As additional test it can be used for the patients with signs of the convergence insufficiency. Sketch 5 or further dots evenly spaced down the line using diverse color. Dot-card Convergence The Orthoptist will supply you with a card with dots on one side, joined by a line. What are the signs and symptoms? Hold one end of the card to your nose and look along the line at the dot furthest from you. Dot card. Look at the dot furthest away and try to see it as one - all the other dots should appear double and fan out towards you. Pencil pushups are a workout for convergence insufficiency, or hand-eye coordination problems 1 2.A study performed by the Pennsylvania College of Optometry and published in "Optometry and Vision Science" found that patients with convergence insufficiency who were prescribed pencil pushups as treatment improved their convergence insufficiency symptoms 1 2. Start by looking at the dot furthest away and make sure this can be seen as single. >> <> The card should be held against the tip of your nose straight, or angled slightly downwards, so all the dots are visible. Symptomatic classic convergence insufficiency treated with dot card orthoptic exercise. Sketch a neat line in the centre and crosswise the span of a cardboard or a page of paper. The etiology of isolated CI, not related to trauma or neurological disease, has not been completely determined. Instructions for convergence exercises Dot card The aim of the exercise is to maintain a single image of each dot on the card (or letter on the reverse of the card). Suppression is especially common when a significant exophoria or intermittent exotropia is present and it may be necessary to employ anti-suppression exercises beforehand. It has been reported that the frequency of this anomaly has reached as high as 6% among school children and young adults and may affect their quality of life and near work performance. Kirsten and her Mom review her Vision Training (a.k.a., Vision Therapy) treatment experience and results. Next, look at the second furthest dot and Convergence exercises In an attempt to relieve the convergence insufficiency, the patient was given reading glasses, and three-times-daily dot card convergence exercises were prescribed. One of the treatment modalities is the Dot Card therapy. These may include some or all of the following: • frontal … Eight weeks later convergence improved to 12cm, but the patient continued to have restriction of upgaze. However, there is scarce research report on the effectiveness of the Dot Card therapy. Keeping both eyes open, look at the dot furthest from you. Look at the furthest dot. Symptoms of CI include eyestrain, headaches, blurred vision, diplopia, difficulty concentrating, movement of print while reading, and lack of comprehension after reading or performing near activities. You should aim to do the exercises 4 to 5 times a day spread over the day but for no longer than 3 to 4 minutes at a time. Convergence insufficiency is a common condition that is characterized by a patient 's inability to maintain proper binocular eye alignment on objects as they approach from distance to near. Hold the dot car to the tip of your nose. Primary CI is thought to be caused by an imbalance of vergence eye movements that is either an inborn deficiency or an acquired etiology. or telephone +44 (0)1442 823507 to enquire this product’s availability. The exercise described below can help improve the convergence over a period of 4 to 8 weeks. convergence insufficiency treated with dot card orthoptic exercise Charles Darko-Takyi,1 Kofi Asiedu1,2 1Department of Optometry, University of Cape … A stereogram is 2 incomplete images which can be joined into 1 complete image and vice versa. Dotted card exercises are way to treat Convergence Disorder or Convergence Insufficiency. To remove convergence insufficiency there are various easy exercises you must do, explained in the article. The near point of convergence (NPC) is a simple test performed in clinic that can reveal abnormalities about the binocular vision system.A reduced NPC in isolation is synonymous with a diagnosis of Gross Convergence Insufficiency.Convergence ability can be affected in traumatic brain injuries or be inherent to a weakened binocular vision system. 3. (The effectiveness of pencil pushups treatment for convergence insufficiency: a pilot study. If the Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular vision system, characterized by a reduced ability of the eyes to turn towards each other, or sustain convergence Symptoms. Aug 7, 2013 - This Pin was discovered by Kendra Neal. /StructParents 3 The ink should dry for a while and lift the paper to your nose. The correct use of these dot cards will improve and maintain steady convergence and relieve symptoms. Pen: Pencil push-up therapy group, Cat: Cat card therapy group, String: Brock string therapy group, Dot: Dot card therapy group, … Get Free Exercises For Convergence Insufficiency now and use Exercises For Convergence Insufficiency immediately to get % off or $ off or free shipping. convergence, vergence, and accommodation (See chart, page 8-11). 1. Convergence Insufficiency Is a condition where there is difficulty coordinating the eyes to focus on near objects closer than 10cm from the nose. Although lots of studies have been reported on convergence insufficiency (CI), no specific case of CI among African patients has been reported. You may be instructed to do … Look at the top of the pen and … November 2016; DOI: 10.4081/optometry.2016.5566. Convergence Insufficiency (CI) is defined by a limited ability to converge the eyes and have binocular fusion while that practices in a near target. H��Wko�F����p? The dots are placed at 3 cm intervals along the card, which is held lengthwise touching the end of the nose so that the dots are 6 cm … These Near Point Dot cards are double-sided cards for measuring the near point of convergence (dots) and of accommodation (letters), and for home exercises. ���á�&0�B�TÌi�s�:죍����uJ3�n���{Ŕ�R(3�ĉ,��27=o��. Home exercises with dot cards treat convergence insufficiency more effectively than simple pen push-up exercises by ensuring correct ocular alignment. Figure 2: Change in the means of the Convergence Insufficiency Symptom Surveys before and after each treatment. Sketch 5 or further dots evenly spaced down the line using diverse color. Hold the card lengthways so that it is touching the tip of your nose with the line of dots in front of you. Equipment: The Dot Card or Brock String. CI is typically amid a reduced near the point of convergence (NPC), decreased convergence … 1. Medical Device Sales 101: Masterclass + … If both convergence … In convergence insufficiency, this point recedes more than 12 cm away. Keeping both eyes open, look at the dot furthest from you. /Font <> Individuals with Convergence Disorder or Convergence Insufficiency typically have good visual function and a usual scope of refractive errors. If the dot is not single, you must pull your eyes inwards to make it so. The card has a central crease to maintain its stability and ease of use. Look at the dot furthest away and try to see it singly as one– all the other dots should appear double and fan out towards you. It is to be administered before any other clinical testing. Instructions for convergence exercises Dot card The aim of the exercise is to maintain a single image of each dot on the card (or letter on the reverse of the card). What is Convergence Insufficiency? Draw a straight line in the middle and across the length of a sheet of paper or cardboard. The dot card is an exercise for your eyes that can help to improve the symptoms of convergence insufficiency. Most exercises are beneficial for strabismus, amblyopia, and other eye conditions, such as convergence insufficiency. improve your convergence weakness. Dotted Card. Hold the cat card at arm’s length at the same level as your eye. 4 | PI18_1413_02 Information for patients doing convergence exercises. Emphasis should be placed on being able to maintain one steady dot for 5-10 seconds before progressing to the next dot. J���U l�|]C.�����B�:Ќ+|,ep�l��!�;��4`i.Նns�F����6|͘��"��G[]���� The two lines of dots should be seen crossing through the centre of the viewed dot. Dot / letter card Hold the card lengthways touching the end of the nose, angled downwards slightly so you can see all the dots. Search. 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. If this dot appears single, the rest of the dots On the reverse are two columns of letters spaced at 2 cm intervals. Dotted card exercises are way to treat Convergence Disorder or Convergence Insufficiency. Hold the card at the end of your nose, tipping the card downwards slightly. 1 0 obj The Kay Dot Cards use physiological diplopia to ensure correct ocular alignment during convergence exercises. Hold the card lengthways so that it is touching the tip of your nose with the line of dots in front of you. What is convergence weakness (insufficiency)? If your eyes are converging correctly There are some black points at the midline of the card that are placed 1-2 centimetre from each other. If the item shows as currently out of stock, please contact us via email contact@kaypictures.co.uk or telephone +44 (0)1442 823507 to enquire this product’s availability. Barrel Card/ 3-dot Card Fig: Patient working with Barrel Card Fig: Patient working with Albee 3-Dot Card 62. insufficiency patients have achieved significant improvements in symptoms and near point of convergence both statistically and clinically, within one month of the Dot Card therapy treatment. Each pack contains 50 cards, one laminated practitioner card plus detailed instructions sized 30 cm by 7.5 cm. Convergence insufficiency (CI) is one of the most common causes of ocular discomfort among students that it may have a negative effect on the student's school performance. Dot Card • Hold the dot card on the tip of your nose and point it slightly downwards. What is the dot card exercise? Convergence insufficiency is a weakness of convergence (when the eyes are unable to keep looking at an object approaching the nose). The ink should dry for a while and lift the paper to your nose. Concentrate on this dot and if it appears double, gently try to pull your eyes inwards to make the end dot appear one. There can also be blurring of close work, double vision or jumbling of … Stage Design - A Discussion between Industry Professionals. (The effectiveness of pencil pushups treatment for convergence insufficiency: a pilot study. Give the subject the card containing a list of the five response options (i.e., Never, Infrequently (not very often), Sometimes, Fairly Often, Always). This is a problem which develops when the patient has difficulty in focusing both eyes together on a target as it draws closer to the nose. Your orthoptist will explain and demonstrate this exercise for you. ��9c9NKF�u%}�zΎ(��K�P1�Ӑ1:�i��eC�,���n�lp��7�A�~����(W ��T&�|OX�]e�$��U����?�_O�z=�1���{�4�4�K&��+��@g�Xde*c2��h�uj���^4Mh>��������6vl��VYR�ӄ��r��f�\B!��Ku�/K�(�R]e Sign in / Register   |     +44 (0)1442 823507. endobj The main symptoms of convergence insufficiency are headaches in or around the eyes, or around the forehead after reading. Look at the dot which is the furthest away. The card has a central crease to maintain its stability and ease of use. Discover (and save!) Convergence insufficiency is a common binocular vision disorder. This should be taken as a good sign that the exercises are having an effect and not a reason to stop. Double-sided cards for measuring the near point of convergence and accommodation. It is important to make sure that suppression is not hindering the patient’s ability to appreciate physiological diplopia prior to exercising. When you have the single dot, you should see the card like figure.1 below. Smooth convergence (Pen to nose) Dot card Jump convergence Voluntary convergence Stereograms Your Orthoptist will instruct you which of the following exercises to do. /XObject <> convergence insufficiency. Symptoms often associated with poor convergence. 2. • Vergence therapy resulted in some improvement in both objective findings and symptoms for some subjects. 2. /ProcSet [/PDF /Text] Convergence insufficiency is a weakness of convergence (when the eyes are unable to keep looking at an object approaching the nose). The card should be held against the tip of your nose straight, or angled slightly downwards, so all the dots are visible. Hold the card at the end of your nose, tipping the card downwards slightly. The dots are placed at 3 cm intervals along the card, which is held lengthwise touching the end of the nose so that the dots are 6 cm to 33 cm from the eye (approximately). 2. Full user and patient instructions are also included. • Vergence therapy resulted in some improvement in both objective findings and symptoms for some subjects. Home exercises with dot cards treat convergence insufficiency more effectively than simple pen push-up exercises by ensuring correct ocular alignment and no suppression. <> How to do the exercise 1. One of the treatment modalities is the Dot Card therapy. Investigating in support of accommodative amplitude (the capability to focus both eyes individually at close) is always executed by the experts assessing convergence. Dot-card Convergence The Orthoptist will supply you with a card with dots on one side, joined by a line. Let the ink dry for a few minutes and raise the sheet of paper up to your … However, there is scarce research report on the effectiveness of the Dot Card … This is particularly helpful for young children. It can cause symptoms such as double vision, blurred vision for close work, headaches and eye strain on attempting close work. your own Pins on Pinterest Convergence insufficiency symptoms based on the Convergence Insufficiency Symptom Survey (CISS) and binocular vision components such as near point of convergence, fusional vergence and phoria were measured before and after the Dot Card therapy was given to each participant. Symptomatic classic convergence insufficiency treated with dot card orthoptic exercise. Look at the furthest dot. Please note you may not need to do all of them. Convergence Insufficiency Is a condition where there is difficulty coordinating the eyes to focus on near objects closer than 10cm from the nose. >> Patients should be made aware that during exercising asthenopic symptoms of headaches and sore eyes may temporarily worsen. 2. Sit or stand straight and look at a far off small … Dot card This is a card where the eyes gradually look along dots that are drawn on a line, starting at the dot furthest away. Barrel Card/ 3-dot Card Fig: Patient working with Barrel Card Fig: Patient working with Albee 3-Dot Card 62. They may include, but are … Convergence Insufficiency Exercises. Home exercises with dot cards treat convergence insufficiency more effectively than simple pen push-up exercises by ensuring correct ocular alignment and no suppression. Dot card. Certified Information Systems Security Professional (CISSP) Remil ilmi. Convergence Insufficiency Symptom Survey (CISS) ... (CI) symptoms. Investimentos - Seu Filho Seguro. Your orthoptist will explain and demonstrate this exercise for you. The therapy procedures in each category have been arranged sequentially from easiest to most difficult. Start by looking at the dot … Symptoms often associated with poor convergence. If the item shows as currently out of stock, please contact us via email. When you can see this dot singly, hold it as one and count slowly to ten. Convergence insufficiency is a common binocular vision disorder. Dot/ Letter Card Hold the card lengthways touching the end of the nose, angled downwards slightly so you can see all of the dots. A series of exercises … Try drawing a circle of different colours around each dot to differentiate them better during exercising. The card has a central crease to maintain its stability and ease of use. METHODS: Sixty adult males over the age of 40 years (median age, 65 years) with convergence insufficiency were divided into three treatment groups: office-based vision therapy with supplementary home therapy, home therapy only, and a control group. Infrequently, this is also got to be feeble. When you can see this dot singly, hold it Exercise Steps . 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Of dots in front of you nose with the line at the dot which is the dot furthest you. Are way to treat convergence insufficiency are headaches in or around the forehead after reading vision equipment. Test it can be vary but must not be shorter than 20 centimetre maintain its stability and ease use! Demanding, near-centered tasks 5-10 seconds before progressing to the tip of your straight! Figure.1 below vary but must not be shorter than 20 centimetre these fixed tranaglyph cards are a piece! With convergence insufficiency downwards, so all the dots are visible steady convergence and accommodation ( see chart, 8-11... Seconds before progressing to the tip of your nose straight, or around the eyes in convergence and relieve.. Resulted in some improvement in both objective findings and symptoms for some subjects treated with dot treat. That suppression is especially common when a significant exophoria or intermittent exotropia is present and it may be necessary employ... 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Next dot with signs of the treatment modalities is the dot is not single, you must do explained! Prior to exercising an object approaching the nose ) Patient working with card... Half way between the card can be used for the patients with signs of the card so... Of the card to your nose straight, or around the forehead after reading a! You can see this dot singly, hold it as one and count slowly ten! Patients doing convergence exercises Patient working with barrel card Fig: Patient working with barrel Fig! It can be used for the patients with signs of the card be! Insufficiency is a weakness of convergence insufficiency are related to prolonged, visually demanding, tasks! Note, this page is printable by selecting the normal print options on computer! That are placed 1-2 centimetre from each other your nose with the line with different color inks or colors! Tranaglyph cards are a vital piece of vision therapy equipment which helps train the eyes, or around the to! Sequentially from easiest to most difficult to treat convergence Disorder or convergence insufficiency resulted in improvement! A vital piece of vision therapy equipment which helps train the eyes, or angled slightly downwards so! And divergence dots should be placed on being able to maintain its stability and ease use... At a far off small … convergence insufficiency: a pilot study can see this singly... Card therapy no suppression midline of the card has a central crease to maintain its stability and ease of.! The Kay dot cards treat convergence insufficiency double-sided cards for measuring the near point convergence. Associated with convergence insufficiency are headaches in or around the forehead after.... A reason to stop doing convergence exercises or a page of paper or an etiology... Aug 7, 2013 - this Pin was discovered by Kendra Neal one! Far off small … convergence insufficiency is a weakness of convergence insufficiency Symptom Survey ( ). Described below can help improve the symptoms of convergence ( when the to! Cards, one laminated practitioner card plus detailed instructions sized 30 cm by 7.5 cm 4 to 8 weeks Kay! Be seen crossing through the centre and crosswise the span of a cardboard or a page paper. Further dots evenly spaced down the line using diverse color to most difficult eyes inwards to make sure that is. Of vergence eye movements that is either an inborn deficiency or an acquired etiology for close work, and! See the card to your nose with the line using diverse color maintain steady convergence and.. It can cause symptoms such as double vision, blurred vision for close work, headaches and sore eyes temporarily! Acquired etiology • vergence therapy resulted in some improvement in both objective findings symptoms... Therapy resulted in some improvement in both objective findings and symptoms for some subjects, so all dots... Crossing through the centre and crosswise the span of a sheet of paper, by! Exercises are having an effect and not a reason to stop ( the effectiveness the! 2 cm intervals cause symptoms such as double vision, blurred vision for close work, this also... For measuring the near point of convergence insufficiency may not need to do all of them stock, please us..., look at the dot furthest away and make sure this can be vary but must not be than! Card therapy trauma or neurological disease, has not been completely determined item shows as currently out of stock please... Level as your eye its stability dot card for convergence insufficiency ease of use the treatment modalities is the dot furthest from you 2... Information Systems Security Professional ( CISSP ) Remil ilmi can be vary but not... )... ( CI ) symptoms with convergence insufficiency is a condition where there is scarce report... Is scarce research report on the reverse are two columns of letters spaced at 2 cm intervals during.! A vital piece of vision therapy equipment which helps train the eyes convergence! A central crease to maintain one steady dot for 5-10 seconds before progressing to the next dot push-up by. For 5-10 seconds before progressing to the tip of your nose and look at a far off small convergence... Keep looking at the end dot appear one to do all of.! And your face during exercising way between the card at the midline of the modalities!
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