1.3 - Convergence Insufficiency: The Eye Teaming Problem You’ve Probably Never Heard Of
- Lisa Raad

- Jul 29
- 2 min read
Does reading give you a headache? Feel like words slide around on the page? You might be fighting a condition called Convergence Insufficiency—and it’s more common than you think.
Your eyes are like a well-coordinated dance duo. When they move together in sync, you see a single, clear image. But when one eye misses the beat—everything turns chaotic. That’s exactly what happens with Convergence Insufficiency (CI), a common yet underdiagnosed functional vision problem.
In this post, we’ll explore how CI affects your ability to read, concentrate, and even function at school or work—and the powerful tools available to treat it.
What is Convergence Insufficiency?
Convergence is your eyes’ ability to work together and turn inward when focusing on something up close - like a book or a smartphone. When this coordination falters, it’s called Convergence Insufficiency. It causes double vision, visual confusion, and a whole lot of frustration during near tasks.
Red Flags: Symptoms You Shouldn’t Ignore
Double vision or blurred vision when reading
Eyestrain or fatigue after short reading sessions
Headaches centered around the eyes
Losing your place or skipping lines while reading
Closing one eye to read
Short attention span for near work
📉 A 2005 study in the journal Archives of Ophthalmology found that nearly 1 in 20 children suffer from convergence insufficiency—and it’s a leading cause of reading difficulties.
What Causes It?
It’s often neurological, not structural. Your eye muscles work fine - it’s the brain’s control of those muscles that’s off. CI can show up early in life, after a concussion, or due to excessive screen time. And no, standard glasses don’t fix it.
How to Treat Convergence Insufficiency
1. In-Office Vision Therapy - This is the gold standard. A 2008 NIH-funded study showed that office-based vision therapy significantly improves CI in children and adults—far better than home-based pencil push-ups or reading glasses.
2. Home-Based Exercises (When Guided by a Pro) - Exercises like Brock String, Barrel Cards, and computer-based therapy can help - but only when tailored and monitored by a qualified therapist.
3. Prism Lenses (Short-Term Relief) - Prism glasses can reduce double vision temporarily, but they don’t treat the root cause. Think of them as a helpful crutch, not a cure.
4. Reduce Visual Load - Limit long stretches of screen or reading time. Take regular breaks. Use large-print materials. Reduce background distractions when reading or working.
Common Misdiagnoses
CI is often confused with ADHD, dyslexia, or simply a “lack of focus.” But unlike those conditions, CI is treatable with vision therapy—and can dramatically improve reading speed, comprehension, and attention span.
Quote to Remember
“Convergence Insufficiency is one of the most overlooked causes of reading problems in children. But with the right treatment, progress can be rapid and life-changing.”— Dr. Dominick Maino, OD, Professor of Pediatrics and Binocular Vision
Final Thoughts
If reading feels like a chore, your eyes might be working overtime just to hold focus. Convergence Insufficiency is more than an eye problem - it’s a roadblock to learning, productivity, and comfort. But with expert-guided vision therapy, clear and effortless reading is absolutely within reach.


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