Efficacy Of Pencil Pushup Exercise Vs Base Out Exercising Prism's In Patient With Convergence Insufficiency

"Participants in the experimental group will use base-out exercising prisms as their primary intervention. This involves:~1. Procedure:~ * Wearing customized prism glasses designed to increase the convergence demand during near tasks.~ * Performing near vision activities such as reading or viewing objects while wearing the prisms.~2. Schedule:~ * Prisms will be prescribed based on individual clinical measurements.~ * Participants will use the prisms during near tasks for 15-20 minutes daily, 5 days a week, for a total duration of 6 weeks.~3. Monitoring:~ * Initial training will be provided to ensure proper use of the prisms.~ * Adherence will be checked during weekly follow-up visits, where adjustments to the prism strength will be made if necessary."

Participants in the control group will perform pencil pushup exercises as their primary intervention. This involves: 1. Procedure: o Holding a pencil or similar object vertically at arm's length and focusing on a letter or small mark on it. o Gradually moving the pencil closer to the nose until the participant experiences visual blur or sees double. o Returning the pencil to the starting position and repeating the process. 2. Schedule: o Exercises will be prescribed for 15-20 minutes daily, 5 days a week, for a total duration of 6 weeks. 3. Monitoring: o Participants will receive instructions during the initial session and periodic supervision at follow-up visits to ensure proper technique and adherence. o Progress will be monitored weekly through symptom reporting and clinical measurements.