The accommodative excess or excess of accommodation is an accommodative dysfunction where the patient has difficulties with tasks related to the relaxation of accommodation and can generate pseudomyopia in patients. The objective is to determine the efficacy of visual therapy in the treatment of excess accommodation, materials and methods. An 11-year-old female patient from the IESS Babahoyo General Hospital, she reported headaches for more than 4 months. Tests were carried out to evaluate the patient's accommodative system, based on the Scientific, quantitative method, with a type of applied level research. Results Due to the accommodation problem presented by the patient, it was decided to follow a treatment based on visual therapy with a duration of 18 weeks with the aim of changing visual hygiene habits, eliminating symptoms, normalizing accommodation values and integrating them with vergences and ocular motility. As a final result, we can ensure that visual therapy has managed to restore the abnormal values of the accommodative system, as well as the patient's visual acuity. After the last week of vision therapy, controls were made every 2 months for 3 additional sessions, resulting in normality in the exams and improvement in visual skills Conclusions: Vision therapy has managed to normalize the values of the accommodative system, eliminating the symptoms.The accommodative excess or excess of accommodation is an accommodative dysfunction where the patient has difficulties with tasks related to the relaxation of accommodation and can generate pseudomyopia in patients. The objective is to determine the efficacy of visual therapy in the treatment of excess accommodation, materials and methods. An 11-year-old female patient from the IESS Babahoyo General Hospital, she reported headaches for more than 4 months. Tests were carried out to evaluate the patient's accommodative system, based on the Scientific, quantitative method, with a type of applied level research. Results Due to the accommodation problem presented by the patient, it was decided to follow a treatment based on visual therapy with a duration of 18 weeks with the aim of changing visual hygiene habits, eliminating symptoms, normalizing accommodation values and integrating them with vergences and ocular motility. As a final result, we can ensure that visual therapy has managed to restore the abnormal values of the accommodative system, as well as the patient's visual acuity. After the last week of vision therapy, controls were made every 2 months for 3 additional sessions, resulting in normality in the exams and improvement in visual skills Conclusions: Vision therapy has managed to normalize the values of the accommodative system, eliminating the symptoms.El exceso acomodativo o exceso de acomodación es una disfunción acomodativa donde el paciente presenta dificultades con tareas relacionadas a la relajación de la acomodación y puede generar pseudomiopía en los pacientes. El objetivo es determinar la eficacia de la terapia visual en el tratamiento del exceso de acomodación, materiales y métodos. Paciente femenino de 11 años de edad del Hospital General IESS Babahoyo, refiere dolores de cabeza hace más de 4 meses. Se realizó pruebas para evaluar el sistema acomodativo del paciente, basados en el método Científico, cuantitativo, con un tipo de investigación de nivel aplicada. Resultados Debido al problema acomodativo que presenta la paciente se ha optado por seguir un tratamiento basado en la terapia visual con una duración de 18 semanas con el objetivo de cambiar los hábitos de higiene visual, eliminar la sintomatología, normalizar los valores de acomodación e integrarlas con vergencias y motilidad ocular. Como resultado final, podemos asegurar que la terapia visual ha logrado restablecer los valores anormales del sistema acomodativo, así como la agudeza visual del paciente. Posterior a la última semana de la terapia visual se hizo controles cada 2 meses por 3 sesiones adicionales, teniendo como resultado normalidad en los exámenes y mejora en las destrezas visuales Conclusiones: La terapia visual ha conseguido normalizar los valores del sistema acomodativo, eliminando la sintomatología.