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Dr. Zara Akhter is completing advanced training in binocular vision and vision therapy — helping children whose eyes have trouble working together comfortably.

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Binocular Vision

Seeing clearly and seeing together are not the same skill.

Sometimes a child has 20/20 eyesight but still struggles with reading and near work. When the eyes don’t team or focus well — as in convergence insufficiency, a common near-vision problem — reading and concentration can take extra effort.

Watch For

Signs your child may benefit from an assessment.

  • Eye strain or headaches after reading or screen time
  • Double vision, or words that blur or seem to move on the page
  • Trouble concentrating on near work, or tiring quickly
  • Covering or closing one eye, squinting, or leaning in very close to read
  • Losing their place, skipping lines, or re-reading the same line
  • Using a finger to keep their place on the page
  • Reading slowly, or avoiding and losing interest in reading
  • Trouble catching a ball or judging distances
  • Poor attention that looks like a focus problem but shows up mainly with reading

A Note for Parents

These eye-teaming problems are not the same as a learning disability, and eye problems do not cause learning disabilities — but the symptoms can look similar, so an assessment helps rule vision in or out. Convergence insufficiency is also usually missed by standard 20/20 school vision screenings; it takes a comprehensive assessment of how the eyes focus and work together.

73%
of children improved after 12 weeks of office-based therap
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The best-supported treatment for convergence insufficiency.

Office-based vision therapy is the best-supported treatment for symptomatic convergence insufficiency in children. In the Convergence Insufficiency Treatment Trial (CITT) — a randomized controlled trial funded by the U.S. National Eye Institute involving 221 children aged 9–17 — office-based therapy outperformed home pencil push-ups and placebo.

Information

Frequently asked questions.

Vision therapy is a structured, in-office program designed to improve how the eyes team up, focus, and communicate with the brain. It’s different from a regular eye exam or glasses prescription, which mainly address how clearly you see.
It’s a common condition where the eyes have difficulty working together to focus on near objects, like a page or a screen. It can cause eye strain, headaches, double or blurry vision, and difficulty concentrating during reading or close work.
Yes. Standard 20/20 school screenings usually check clarity of vision, not how well the eyes team and focus together. Convergence insufficiency is commonly missed this way — a comprehensive binocular vision assessment is needed to catch it.
No. Eye-teaming problems are not the same as a learning disability, and eye problems do not cause learning disabilities. However, the symptoms can look very similar, which is why an assessment helps rule vision in or out as a factor.
Office-based vision therapy is the best-supported treatment for symptomatic convergence insufficiency in children. In a National Eye Institute-funded randomized controlled trial of 221 children aged 9–17, about 73% improved after 12 weeks of office-based therapy, outperforming home pencil push-ups and placebo.
Be the First to Know

Join our vision therapy waitlist.

Ask our team to add your child to our vision therapy waitlist.
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References

American Academy of Ophthalmology — What Is Convergence Insufficiency?

American Association for Pediatric Ophthalmology & Strabismus (AAPOS) — Convergence Insufficiency

Convergence Insufficiency Treatment Trial (CITT), U.S. National Eye Institute — Scheiman M, et al., Archives of Ophthalmology (2008); CITT-ART, Optometry & Vision Science (2019). View on PubMed

Mayo Clinic — Convergence Insufficiency and Reading in Children