Yes, polarbear, and thank you for your detailed descriptions; they show how very different your situation is from ours.

On repeated questioning, DD says she never sees double and never has blurry vision.

She seems to read well ("13th grade" overall on WJ-III at age 10.5, 10th grade Broad Reading, which even takes into account the timed portion of the reading tests), although her score was on the low end of the range of not statistically significant. She loves reading.

She doesn't think her own reading or vision is problematic in any way.

She has occasional headaches (and nausea), but it's not clear that they are correlated with near vision tasks (though I'm trying to start keeping better track of that).

All of the other problems are vague, possibly quite normal, possibly related to other issues for an EG kid, or could mean something else. And they weren't nearly as bad in 5th grade as in 4th and 3rd (although many things changed in 5th grade, and it's hard to know if this will continue).

Based on policy statements online, it appears that neither United nor Aetna will pay for vision therapy for our diagnoses (I think it may be otherwise for convergence insufficiency, in line with the American Academy of Pediatrics and opthalmology association statement of position).

When I asked how long it would take to see unmistakable improvement, DO first said 8 weeks, then said at least 8 weeks (and you know that if we miss one 20-30 minute session at home or one in-office therapy appointment, due to headaches or illness or homework or someone's birthday party or holiday or need to take DD#1 on a college search trip, they will say, "well, that's set you back...").