Friday, March 16, 2007

Convergence Insufficiency Syndrome

Convergence Insufficiency Syndrome (Asthenovergence of Stutterheim)

General: An exodeviation that is greater at near distances than at far ones; inadequate accommodative and fusional convergence impulses; prevalence is generally considered to be low in children under age 10 years and higher in females.

Ocular: Burning, itching, blurred vision; diplopia; difficulty in following moving objects; astigmatism; decreased visual acuity; exotropia; hypermetropia; orthotropia.

Clinical: Headache; associated with thyroid eye disease.

Burke JP, et al. Convergence insufficiency in thyroid eye disease. J Pediatr Ophthalmol Strabismus 1993; 30:127-129.

Fraunfelder FT, Roy FJ. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.

Harley RD, ed. Pediatric Ophthalmology, 4th ed. Philadelphia: WB Saunders, 1998.

Norm MS, Convergence insufficiency: incidence in ophthalmic practice. Results of orthoptic treatment. Acta Ophthalmol 1966; 44:132.

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