| Sumario: | Background: Although convergence insufficiency is a common diagnosis, a diagnosis does not always define the degree of the dysfunction. There are many other variables, from the patient’s symptoms to the actual binocular deviation to other visual and non-visual factors. Convergence insufficiency is rarely the only condition that needs to be treated. It is important to note that numbers are simply guideposts since they can change over time and even over the course of a day. In focusing on the type of optometric vision therapy that was designed and implemented, a combination of office-based and home-based interventions can be effective in many cases. The long-term effectiveness of therapy is also illustrated in this specific case. Case Report: The patient, Molly, a 7-year, 10-month-old female, was seen at our Pediatric/Binocular Vision Clinic at the New England College of Optometry with significant symptoms and a severe convergence insufficiency. In a teaching clinic, students are the primary therapists despite their limited vision therapy experience. For this reason, procedures and sequencing of therapy may be different than in other clinical settings. Despite our initial concerns, Molly showed incredible improvement from her first exam and has maintained those gains for over two years. Two key procedures that were implemented in her therapy are highlighted. Molly’s case is an example of how vision therapy can improve a patient’s quality of life. Conclusion: Convergence insufficiency can be treated effectively by an in-office/home-based program. The repetition of appropriate optometric vision therapy procedures at home will help resolve a patient’s maladaptive visual condition over time.
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