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Convergence insufficiency is a common problem with the eyes, and is the main culprit behind eyestrain, blurred vision, and headaches. [9] [unreliable source?] This problem is most commonly found in children. Near point of convergence (NPC) is measured by bringing an object to the nose and observing when the patient sees double, or one eye ...
In visual perception, the near point is the closest point at which an object can be placed and still form a focused image on the retina, within the eye's accommodation range. The other limit to the eye's accommodation range is the far point. A normal eye is considered to have a near point at about 11 cm (4.3 in) for a thirty year old. [1]
Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.
In studies that used standardized definitions of convergence insufficiency, investigators have reported a prevalence of 4.2–6% in school and clinic settings. The standard definition of convergence insufficiency is exophoria greater at near than at distance, a receded near point of convergence, and reduced convergence amplitudes at near. [5]
In this, distances vary for individuals from the far point—the maximum distance from the eye for which a clear image of an object can be seen, to the near point—the minimum distance for a clear image. Accommodation usually acts like a reflex, including part of the accommodation-convergence reflex, but it can also be consciously controlled.
Both of these mechanisms are neurally linked forming the accommodation-convergence reflex [1] of eyes. One can distinguish vergence distance — a distance of a point towards which both eyes are converging, and an accommodation distance — a distance of a region in space towards which the focus or refractive power of the ...
Clinically, accommodative convergence is measured as a ratio of convergence, measured in prism diopters, to accommodation, measured in diopters of near demand. The patient is instructed to make a near target perfectly clear and their phoria is measured as the focusing demand on the eye is changed with lenses.
Convergence is a binocular oculomotor cue for distance and depth perception. Because of stereopsis, the two eyeballs focus on the same object; in doing so they converge. The convergence will stretch the extraocular muscles – the receptors for this are muscle spindles. As happens with the monocular accommodation cue, kinesthetic sensations ...