Vergence problems make it difficult to achieve a sharp focus on a single point with both eyes, which is a key issue. As a result, the brain compensates by exerting more effort to achieve clarity, consuming a significant amount of energy in the frontal lobe.
At their core, vergence problems are vision-related issues that can involve both accommodation difficulties and binocular coordination challenges. To see clearly and perceive depth, the eyes must move together in a coordinated and precise manner toward the same point in the visual field. If the eyes do not work together as they should, the brain will struggle to combine the images from both eyes into one unified picture.
Vergence problems often originate at birth but may become more noticeable later in life. Improvement options can include glasses, orthoptic exercises, prism glasses, surgery, and, more recently, watching movies in virtual reality (VR). In recent years, there has been an increase in vergence problems attributed to the growing use of mobile phones and tablets.
Definition and explanation
of vergence insufficiency
Vergence problems is a broad term for accommodation and/or binocular vision issues. It means the eyes do not work together properly, which can lead to symptoms such as tired eyes, pain in and around the eyes, headaches, and double vision. These problems can be congenital or develop later in life, and the increased use of mobile phones and tablets has contributed to a rise in vergence problems.
Proper vergence requires good vision in both eyes and the brain’s ability to effectively merge the images from each eye into a single, unified perception. Since each eye views the world from a slightly different angle, it is the brain’s job to create the real image we perceive. This collaboration between the eyes is crucial for proper focus and coordination of vision.
When vergence works correctly, it provides skills such as stereoscopic vision, depth perception, and the ability to judge speed and distance. For the vergence system to function optimally, fixation and focusing must work together. Quick eye movements are important, and they must maintain fixation to achieve effective vergence.
A growing trend
The effort and close-up work involved in focusing for long periods of time on small screens often tires the eyes. People who were previously able to compensate for minor deviations that they were not even aware of suddenly experience symptoms.
There is a trend towards increased vergence problems among children, with figures of up to 25% reported, along with a rapidly increasing myopia. This is likely a result of the rapidly increasing use of mobile phones and tablets from a very young age. The problem is also very common among people over 60 years of age.
Symptoms
- Tired eyes and Headaches
- Reading difficulties
- Problems with concentration
- Writing difficulties
- Difficult to judge distance
- Dizziness and Fatigue
- Double vision
- Fatigue when reading
- Words that jump and letters that flow together
Test for vergence insufficiency
Symptoms in children
In children, vergence problems can be harder to detect because they often don't realize that something is wrong. Common signs of symptoms in children include difficulty concentrating on text and small screens. Some children who are diagnosed with reading and writing difficulties may actually have vergence problems.
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