Pencil pushups test used for convergence insufficiency to main find ourlt and care of the eye

1. BY - RAJU RATHORE
O P T O M E T R I S T S
PENCIL PUSHUPS TEST

2. Introduction
Method
CONTENTS
01
02

3. Introduction
01
Pencil push-ups treatment (PPT) is a
commonly prescribed eye exercise
approach for convergence insufficiency
(CI)

4. • They are also called or categorized as near point of
convergence exercises
• Typically, this exercise is done with a pencil but any
object with the shape of a pencil could work.
Pencils used in PPT can have an alphabet or other
characters on it to stimulate the accommodative
system. If the patient does not know their letters
yet, the optometrist may opt for a more familiar
symbol like animal or shape and have the patient
look at that while they perform the pencil pushup
task

5. • PPT usually have letters on them to allow the patient to
focus their accommodative system to one place on the
pencil while it is moved closer and farther from the nose
• The goal is to keep the pencil clear (not blurry) and single
(not double) for as long as possible while moving the
pencil close and far from the nose

7. • There are several studies evaluating the effectiveness of
in-office vision therapy vs pencil pushups
• One such study revealed that after 12 weeks of therapy
the convergence insufficiency score was significantly
reduced in the in-office vision therapy group from 32.1
to 9.5. However, after 12 weeks of pencil pushups the
convergence insufficiency score decreased from 29.3 to
25.9. It is of particular interest to note that pencil
pushup therapy was found to be no more effective than
the placebo therapy

8. • PPT is not indicated as a useful tool in the treatment of
Convergence Insufficiency so it is important that you are
not just using this as a way to solve that binocular vision
disorder

9. Reference -
seevividly.com/info/Lazy_eye_treatments/eye_ex
ercises/pencil_pushups

10. T H A N K Y O U ！
O P T O M E T R I S T S
R A J U R A T H O R E