Vision Therapy
Also known as Orthoptic Therapy, Vergence Therapy, Eye Teaming Therapy, Convergence Therapy, Binocular Vision Therapy
Bottom Line
Vision therapy is structured eye training for specific eye teaming or focusing problems. Evidence is strongest for convergence insufficiency, not for every learning or vision complaint.
Vision therapy uses supervised exercises and home practice to train eye teaming, focusing, and tracking skills. It is not one treatment for every vision problem.
A randomized clinical trial studied treatments for symptomatic convergence insufficiency in children. Office-based vergence and focusing therapy improved symptoms and near eye teaming more than home pencil push-ups 1.
Evidence varies by diagnosis. A full eye exam should identify the problem before therapy starts 2.
Best-Supported Uses
The strongest evidence is for convergence insufficiency. This condition makes the eyes struggle to turn inward together for near work.
In a randomized trial, office-based vergence and focusing therapy helped children with symptomatic convergence insufficiency more than home pencil push-ups 1.
Limits and Red Flags
Vision therapy should be tied to a clear diagnosis and measured goals. Be cautious with broad promises about curing learning problems, dyslexia, or athletic performance.
Evidence varies across diagnoses, so the exam findings should guide the plan 2.
What Sessions Include
Sessions may use lenses, prisms, targets, computer tasks, or tools like a Brock string. Home practice is often part of the program.
Progress should be tracked with symptoms and objective near eye teaming measures.
Cost and Insurance
Coverage varies widely. Some plans cover therapy for specific diagnoses, while others treat it as out of pocket.
Ask for the diagnosis, visit count, total cost, home practice plan, and refund policy before starting.
Common Questions About Vision Therapy
Next Steps
- 1Get a full eye exam before starting therapy.
- 2Ask for the exact diagnosis and the goals being measured.
- 3Confirm total cost, visit count, and insurance coverage.
- 4Track symptoms during reading or near work before and during treatment.
Find specialists for Vision Therapy
Board-certified ophthalmologists who treat Vision Therapy.
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