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Management of Accommodative Insufficiency with Optometric Vision Therapy: A Case Report. J Ophthalmol ter on Accommodative Rock Card). 13-30 yr old. d. Bi-Ocular Accommodative Facility Training i. Minus Lens Rock ii. Stereocope Bi-ocular Rock e. Binocular Accommodative Facility Training i. Flipper Lenses Accommodative Rock Cards and Accommodative Rock Cards Kit Card series measures and treats accommodative facility. Prevents patient memorization. An accommodative rock card, +/-1.50 flipper lenses, and an eye patch were dispensed to the patient for monocular accommodative facility training The Kay Accommodative Rock Chart is used to improve accommodative ?exibility and accuracy. It comprises laminated near and distance cards.Split Pupil Rock (Biocular Minus Lens Rock*) Binocular Accommodative Rock (BAR). 23. Anti-Suppression & Fusion Stereoscope Cards with Russell Rings.