Nearpoint of convergence: test procedure, target selection, and normative data.
BACKGROUND
The purpose of this study was to help determine the most appropriate target to be used for the assessment of the nearpoint of convergence, normative data for the break and recovery in adults, and the diagnostic value of the red-glass modification and repetition of the nearpoint of convergence.


METHODS
A total of 175 subjects with normal binocular vision and 38 subjects with convergence insufficiency were evaluated. The nearpoint of convergence was measured three ways, with an accommodative target, a penlight, and a penlight with red and green glasses. The nearpoint of convergence was also measured using a penlight for 10 repetitions.


RESULTS
Results suggest a clinical cutoff value of 5 cm for the nearpoint of convergence break and 7 cm for the nearpoint of convergence recovery with either an accommodative target or a penlight with red and green glasses.


CONCLUSIONS
This study establishes normative data for the nearpoint of convergence break and recovery in the adult population and supports the value of various test modifications when other testing is equivocal.
Scheiman
Mitchell
M
Pennsylvania College of Optometry, Phiadelphia, 19141, USA. mscheiman@pco.edu
Gallaway
Michael
M
Frantz
Kelly A
KA
Peters
Robert J
RJ
Hatch
Stanley
S
Cuff
Madalyn
M
Mitchell
G Lynn
GL
D000065:Accommodation, Ocular / Q000502:physiology*; D000293:Adolescent; D000328:Adult; D002648:Child; D003290:Convergence, Ocular / Q000502:physiology*; D006801:Humans; D008875:Middle Aged; D010775:Photic Stimulation / Q000379:methods; D012016:Reference Values; D011795:Surveys and Questionnaires; D014787:Vision Tests / Q000379:methods; D015348:Vision, Binocular / Q000502:physiology*