An Apt Reference for AI/CI


In working on the iBook version of my textbook, Applied Concepts in Vision Therapy, I came across the original PDF of the article by Mazow et al on Acute Accommodative and Convergence Insufficiency.

The comments in the Discussion section at the end of the paper by the pediatric ophthalmologist, Dr. Leonard Apt, are priceless:

“In closing, I am grateful to Doctor Mazow and his collaborators for broaching this subject. As they point out in their paper, only a few publications on the topic appear in the ophthalmic literature. Yet, any ophthalmologist who sees a number of students or young adults who do a great deal of close work will concede that asthenopia is a common problem. My impression is that many ophthalmologists handle this disorder poorly. Too often they consider most cases of asthenopia in young persons as instances of uncomplicated convergence insufficiency and treat these patients with simple push-up exercises.

This unsophisticated approach ofttimes is not helpful and the patient leaves dissatisfied. Many ophthalmologists do not fully appreciate the role and function of the process of accommodation and convergence, their interrelationship, and how to study their dysfunctions. Thus proper treatment is not given. Many of these patients end up under the care of optometrists.

The optometry profession seems more interested in the problem of convergence and accommodation than the ophthalmology profession.This impression is supported by the results of my recent Med-Line literature search on the subject covering the past 10 years, which elicited 81 articles in optometric journals and only 7 in the ophthalmic literature. I ask my fellow ophthalmologists: have we abdicated to optometry still another area of eye care that already includes dyslexia, school vision screening, so-called ‘fusion training’ of strabismic patients, and sports vision? I certainly hope the trend does not continue.”

3 thoughts on “An Apt Reference for AI/CI

  1. I remember this article very well. Two parts stand out – the first two sentences of the introduction, which sound like they came from an optometry journal, and the discussion afterwards. Interesting to hear that they don’t even have language to describe what they were observing clinically. Thanks for sharing – this is a must read.

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