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Vision Therapy

Exercises and training to improve eye coordination, focusing, and visual processing skills.

Vision therapy is a program of exercises designed to improve visual skills and processing. It's used for convergence insufficiency, focusing problems, and visual problems after brain injury.

Key Takeaways

  • Exercises to improve visual function
  • Treats focusing and eye coordination problems
  • Helpful after concussion
  • Requires commitment to regular practice
  • Performed by specially trained therapists

What It Treats

Eye Coordination Problems

  • Convergence insufficiency
  • Divergence excess
  • Poor eye teaming

Focusing Problems

  • Accommodative insufficiency
  • Slow focusing
  • Eye strain with near work

After Brain Injury

What's Involved

Evaluation

  • Comprehensive visual skills assessment
  • Identify specific deficits
  • Create treatment plan

In-Office Sessions

  • Weekly 30-60 minute sessions
  • Supervised by therapist
  • Specialized equipment and activities

Home Exercises

  • Daily practice 15-30 minutes
  • Reinforce in-office work
  • Essential for success

Duration

  • Typically 12-24 weeks
  • Varies by condition and severity

Exercises May Include

  • Pencil push-ups
  • Brock string exercises
  • Computer-based activities
  • Prism training
  • Focusing flexibility exercises
  • Tracking activities

Evidence

Strong Evidence

  • Convergence insufficiency (CITT study)
  • Accommodative disorders

Emerging Evidence

  • Post-concussion visual problems
  • Some binocular vision disorders

Who Provides It

  • Optometrists with vision therapy specialty
  • Certified vision therapists
  • Some occupational therapists

Success Factors

  • Compliance with home exercises
  • Regular attendance
  • Motivation and engagement
  • Appropriate candidate selection

Medically Reviewed Content

This article meets our editorial standards

Written by:
Hashemi Eye Care Medical Team
Medically reviewed by:
Board-Certified Neuro-Ophthalmologist (MD, Neuro-Ophthalmology)
Last reviewed:
January 30, 2025