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Convergence Insufficiency Therapy

Say Hello to Reading. Say Goodbye to Eyestrain and Headaches

Convergence insufficiency (CI) is a common reason bright children and adults struggle with reading, homework, or screen time. At Cook Vision Therapy Center in Marietta, Georgia, we specialize in evidence-based solutions to transform reading discomfort into lasting relief.

“When I came to vision therapy, I had severe headaches daily. I could not read for longer than about 5-10 minutes before words began to blur and run together. Since I’ve been in therapy, I have not had a headache. I have noticed that each time I pick up a book (which I now enjoy doing) I read several chapters before stopping. My eyes no longer tire after a few paragraphs. “

What is Convergence Insufficiency?

Convergence is the eyes’ ability to team together to focus on near objects, like books or screens. Convergence insufficiency occurs when the brain struggles to coordinate the 14 eye muscles responsible for clear, comfortable near vision. This leads to symptoms like headaches, double vision, and difficulty concentrating during reading.

Symptoms

According to a National Eye Institute gold-standard study, which included the Mayo Clinic among its treatment centers (Randomized Clinical Trial of Treatments for Symptomatic Convergence Insufficiency in Children: Archives of Ophthalmology, Vol. 126, October 21, 2008), convergence insufficiency can be associated with any or all of the following symptoms during reading or doing near work:

  • Eyes feel tired
  • Eyes feel uncomfortable
  • Eyes hurt
  • Headaches
  • Loss of concentration
  • Trouble remembering what you have read
  • Double vision
  • The words move, jump, swim, or appear to float on the page
  • Read slowly
  • A “pulling feeling” around eyes
  • Words blurring or coming in and out of focus
  • Loss of place
  • Rereading of the same line of words

Best Treatment

In the same National Eye Institute study, one group was fooled into thinking they were receiving vision therapy (placebo group). During a twelve-week trial, the placebo group was compared to three other groups:

In-office vision therapy training flexibility between the muscles keeping things clear and the muscles keeping things single (relative convergence and relative accommodation)

  • Converging to look at a pencil held close to the nose
  • Home computer program

Thirty-five percent of the placebo group, 33 percent of the computer group, 43 percent of the pencil group, and 73 percent of the in-office-vision-therapy group improved at converging their eyes to look at a pencil. When it came to reducing symptoms of “loss of concentration,” “headaches,) etc. only the in-office vision therapy group performed better than the placebo group. Reviewing the study, a Mayo Clinic press release stated that In-Office Vision Therapy is the preferred treatment for convergence insufficiency.

Our Approach

At Cook Vision Therapy Center, we combine 30+ years of expertise with the latest research to deliver lasting results:

  1. Customized In-Office Therapy: Build flexibility between eye muscles using proven techniques from the NEI study.

  2. Integration of 7 Visual Abilities: Beyond convergence, we train focusing, tracking, and depth perception.

  3. Mastery-Based Training: Skills become second nature, ensuring long-term success after treatment.

Led by Dr. Cook, a pioneer in vision therapy who has trained doctors nationwide, our Marietta clinic offers unmatched expertise.

FAQs About Convergence Insufficiency

Check Out Our Resources

Dr. Cook’s Publications:

  • Authored books VISUAL FITNESS and WHEN YOUR CHILD STRUGGLES.
  • Published articles in top optometric journals.
  • His article “Eyesight, infinity and the human heart” was voted “Best Non-Technical Article” by the Association of Optometric Editors.

When Your Child Struggles

Visual Fitness

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