Abstract
Nine patients were described with a syndrome consisting of accommodative and convergence insufficiency. All but two had received extensive orthoptic therapy without benefit in the past. Near points of convergence and accommodation, fusional amplitudes and the AC/A ratio were determined and the data compared with those from a group with ordinary convergence insufficiency. The results show that this syndrome is a distinct and separate entity from ordinary convergence insufficiency. Special therapeutic measures include base in prisms and bifocal correction.
Similar content being viewed by others
References
capobianco, n. M. The subjective measurement of the near point of convergence and its significance in the diagnosis of convergence insufficiency. Am. Orthopt. J. 2: 40–42 (1952).
cogan, d. Neurology of the Ocular Muscles, 2nd ed., Springfield, Ill., C. C. Thomas (1955).
delthil, s. & j.julou. Cited from Doden, Fusionsstörungen nach Schädeltraumen. Klin. Mbl. Augenheilk. 146: 845–853 (1965).
doden, w. & h.bunge. Fusionsstörungen nach Schädeltraumen. Klin. Mbl. Augenheilk. 146: 845–853 (1965).
duane, a. Anomalies of accommodation, clinically considered. Arch. Ophth. 45: 124–136 (1916).
— Subnormal accommodation. Arch. Ophth. 54: 566–587 (1925).
duke-Elder, s. Practice of Refraction, 6th ed., London, J. & A. Churchill, p. 146 (1954).
— & g. I.scott. System of Ophthalmology, Vol. XII, Neuro-ophthalmology, London, H. Kimpton, p. 698 (1971).
franceschetti, a. & m.klinger. Die posttraumatische Encephalopathie (Ophthalmologischer Teil). Schweiz. Arch. Neurol. 50: 267–344 (1943).
jampolsky, a. Ocular divergence mechanisms. Tr. Am. Ophth. Soc. 68: 730–822 (1971).
sloan, l. L., m. L.sears & m. d.jablonski. Convergence-accommodation relationship. Arch. Ophth. 63: 283–306 (1960).
Author information
Authors and Affiliations
Additional information
From the Wilmer Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
This study was supported by Research Grant EY-00274 from the National Eye Institute, Bethesda, Maryland.
Rights and permissions
About this article
Cite this article
Von Noorden, G.K., Brown, D.J. & Parks, M. Associated convergence and accommodative insufficiency. Doc Ophthalmol 34, 393–403 (1973). https://doi.org/10.1007/BF00151826
Issue Date:
DOI: https://doi.org/10.1007/BF00151826