The most successful form of treatment is vision therapy. Therapy should be directed at the cause. Thus, surgery should be reserved only for the large angle intermittent exotropes or when vision therapy is not as successful as expected. Published success rates are higher for vision therapy than surgery. Symptoms are on the rise with increase reading and computer use.
Treatment usually consists of both in office and home exercises.
Recent home computerized therapy programs have become effective in eliminating the symptoms associated with convergence insufficiency. This mode of treatment is very successful. Prismatic glasses can be prescribed to decrease some of the symptoms. Though prisms are effective they are not as effective as vision therapy and may result in adaptation problems so that more prism is necessary in the future to alleviate symptoms. Every Optometric and Ophthalmological textbook agrees that the primary treatment of convergence insufficiency should be vision therapy.