Two Sides of the Same Coin: Convergence Insufficiency and Convergence Excess
- Robert Nurisio, COVT

- Jul 30
- 2 min read

In the world of Vision Therapy, Convergence Insufficiency tends to steal the spotlight, but what about its under-discussed twin, Convergence Excess? These two conditions may seem like opposites, but they often arise from similar functional breakdowns. Like two sides of the same coin, they offer a unique opportunity to refine your clinical instincts and problem-solving strategies. On August 11, Mastering VT dives into the nuanced dance between these two diagnoses and gives you the tools to treat them with confidence and clarity.
This session isn’t just about differentiating CI from CE, it’s about understanding their shared threads:
Why do patients sometimes present with mixed signs?
When is accommodation the culprit masquerading as vergence dysfunction?
And how do we tailor therapy when progress stalls or symptoms don't follow the script?
If you’ve ever second-guessed your program design or found yourself troubleshooting in the therapy room, this presentation is for you.

Whether you're building foundational skills or fine-tuning advanced techniques, participate as we discuss applicable strategies for treating both convergence insufficiency and excess. We’ll unpack VT strategies, discuss real-life case progressions, and highlight when to push, when to pause, and when to pivot. These aren't just textbook patterns! We’re talking about the messy, human side of functional vision disorders and how to manage them in the real world.
We’ll also explore the emotional and behavioral overlays that often accompany these conditions, like the child who "can't concentrate," the teen with unexplained headaches, or the adult who's bounced from doctor to doctor. The goal is not just symptom resolution, but restoring trust in the visual system. And we’ll show you how to get there with empathy and structure.
You’ll leave this session with fresh clinical insights, creative vision therapy tools, and a renewed appreciation for the brain’s role in every eye movement. The presentation will include detailed activity sequences, therapy progressions, and a chance to ask your toughest questions. Come ready to challenge your assumptions and sharpen your skills.
Join us on August 11 for Mastering VT: Two Sides of the Same Coin: Convergence Insufficiency and Convergence Excess. Because together, we are changing lives.




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