Eyes not accommodating
While pushups will work for a few, office based therapy almost always works when done with re-enforcing home therapy. Though we described the problems as if they are a pure muscle strength problems, they are not.For one reason or another you or your child never learned or developed the reflex to properly accommodative (focus) or converge the eyes. A similar analogy is learning to ski or to play a piano.It is designed to develop the appropriate reflex, thus, eliminating the effort used while reading or performing computer work.You can thing of exercises for the eyes like working out.The direct response is impaired in lesions of the ipsilateral optic nerve, the pretectal area, the ipsilateral parasympathetics traveling in CN III, or the pupillary constrictor muscle of the iris.Consensual response (contralateral pupil illuminated). The consensual response is impaired in lesions of the contralateral optic nerve, the pretectal area, the ipsilateral parasympathetics traveling in CN III, or the pupillary constrictor muscle.
Therapy at home can be though of as three different levels, similar to doing exercises: pencil pushups, computerized home therapy programs, and intensive structured office and home based therapy.Our eyes were designed to constantly change fixation, looking near and far.Thus, it is not surprising that many of us develop a form of cramping while looking at close work.While learning either skill our muscles hurt and we suffer generalized fatigue.When you learn to ski or play a piano properly, they are performed without effort and the reflex stays with you.
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