Convergence Insufficiency Treatment Trial – Attention & Reading Trial (CITT-ART)

boy reading with convergence insufficiency

Convergence insufficiency (CI) is a common childhood eye-teaming problem in which the eyes have a strong tendency to drift outward when reading or doing work close up. Double vision often occurs if an eye drifts out. To avoid seeing double, a child with CI must use extra effort to make the eyes turn back in. This extra effort can lead to annoying symptoms, such as eye strain, blurred or double vision, loss of concentration, and frequent loss of place when reading and working up close.

Children with CI have more symptoms and show worse attention when reading than children without CI. Research has shown that treatment using office-based accommodative-vergence vision therapy improves symptoms in children affected with CI. Some studies have suggested that this treatment also results in improvements in reading and attention. However, to know for sure whether vision therapy has a positive effect on reading and attention, we need to study this question using a randomized clinical trial design in a larger group of children.

The CITT-ART is designed to determine whether office-based vision therapy for CI improves reading and attention in children who have symptomatic CI. This study is funded by the National Eye Institute, which is a part of the National Institutes of Health. It is being conducted at 8 clinical eye care locations across the United States. Approximately 324 children will take part in the study.