What Makes A “Best Practice” Best?

The term “best practice” has been bandied about of late in many professions.  I’ll use the phrase here not in terms of professionalism or ethics, though that should be part of the discussion, but with regard to positioning a patient for success.

A landmark study that changed the playing field in vision therapy is the Convergence Insufficiency Treatment Trial (CITT).  You can read more about the study at:  Click here!

The companion video is:

What doctors have learned from this study is that computer programs and other assigned materials to be used out of the office can be important adjuncts to an office based vision therapy program.  But when it comes to re-training the visual brain, there is no effective substitute for weekly office visits.

Studies such as these complement Clinical Practice Guidelines (CPGs) available through the American Optometric Assocation.  See for example:


Pediatric Eye and Vision Examination (CPG2)
1994 | 2nd Edition 2002 | Reviewed 2007

Care of the Patient with Accommodative and Vergence Dysfunction (CPG18)
1998 | Reviewed 2006

Care of the Patient with Learning Related Vision Problems (CPG20)
2000 | Revised 2008

Doctors who stay abreast of evidence based healthcare, and follow CPGs, help define the best practices in vision therapy.

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