Table 1.
Signs characterising normal binocular vision (NBV), convergence insufficiency (CI) and accommodative insufficiency (AI). (NFV-negative fusional vergence; PFV-positive fusional vergence; NPC-near point of convergence; RE-right eye)
| Condition | Signs |
|---|---|
| NBV | 1. Distance phoria: between 3∆ exo and 2∆ eso |
| 2. Near phoria: between 6∆ exo and 2∆ eso | |
| 3. Near NFV ≥ x/7/3 (∆) | |
| 4. Near PFV ≥ x/15/10 (∆) | |
| 5. NPC break ≤6 cm | |
| 6. Amplitude of Accommodation (RE): AA > (15–0,25*Age)-2 (Hofstetter’s minimum age formula) | |
| 7. Monocular Accommodative Facility (RE): MAF ≥ 6 cpm | |
| CI | 8. Near exophoria 4∆ greater than distance phoria |
| 9. PFV break < 15∆ or failing Sheard’s criterion | |
| 10. NPC break > 6 cm | |
| AI | 11. Monocular AA 2D ≤ Hofstetter’s minimum age formula: 15–0,25*Age |
| 12. MAF < 6 cpm (difficulty clearing − 2,00D) | |
| OBD | OBD’s include children with tests outside normal limits not included in previously categories. |