I have been working with a 12 year old boy who used to be a constant alternating 30D ET but now is straight most of the time. His entering Rx was +.50-.50x10 OD and +.50 sph OS with 20/20 acuities in each eye. As we progressed thru therapy his right eye became more myopic and he is now wearing a -.75 Contact lens on the OD and is plano OS. His monocular acuities are fine, but binocularly he is 20/100 at distance and 20/50 at near. I have done a lot of accommodative therapy with him, but nothing has seemed to work. Does anyone have any suggestions?