Conditions / Binocular vision

Two eyes, aimed and focused as one.

When you look at something close, two controls work together. The eyes turn inward to aim, and the lens inside each eye changes shape to focus. When either one falls short, close work gets hard.

Aiming
Convergence: both eyes turn in
Focusing
Accommodation: the lens thickens
Reading at
About 40 cm
Common signs
Eyestrain, headaches, words that blur, double or move

Who it helps

Children who avoid reading

Losing their place, skipping lines, or rubbing their eyes during homework.

Adults with screen strain

Tired eyes or headaches after close work, even with up-to-date glasses.

Double or moving words

Print that drifts, doubles or swims on the page after a few minutes.

How the two controls work

Top view, five steps
Fig. 02 — Vergence and accommodation01 / 05
6 m 1 m 40 cm Right eye's aim Target Left eyeRight eye Lens
Step 01 / Far

Look far.

Focus · accommodation
Aim · convergence
Bar: what the eyes do · Line: what the target needs

Eyes and distances not to scale. Values for a 62 mm pupil distance.

What the assessment involves

Sequence / 04
01

History

Your symptoms, when they start, and how long you can read comfortably.

02

Measurement

How close the eyes can turn in, how far each can focus, and how they hold alignment.

03

Diagnosis

Which control is falling short: aiming, focusing, or the link between them.

04

Plan

Reading glasses, prism or eye exercises, reviewed until the symptoms settle.

Binocular vision / with Eric Cheng

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WA Eye Care · Room 3, 103 Scarborough Beach Road, Mt Hawthorn WA 601608 6288 4218 · info@waeyecare.com.au