Vergence adaptation in clinical vergence testing.

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Vergence adaptation in clinical vergence testing. Optometry. 2010 Jul 22; Authors: McDaniel C, Fogt N BACKGROUND: The purposes of this investigation were to determine whether vergence adaptation occurs after vergence range testing and vergence facility testing and to determine whether vergence adaptation correlates with the results of these tests. METHODS: Thirty subjects participated in 3 testing sessions on different days. During each session 1 of the following was tested: base-out prism bar vergences, vergence facility (12 base-out/3 base-in binocular prism flippers for 1 minute), and 5 minutes viewing with 6 prism diopters of base-out prism. Before and after each test, the near phoria was measured using the modified Thorington method. RESULTS: There was no correlation between the amplitude of the vergence ranges and the amplitude of vergence facility. Significant vergence adaptation as indicated by an esophoric shift of approximately 3 prism diopters occurred in all testing sessions. The amplitude of vergence adaptation did not correlate with either the amplitude of the blur vergence range or vergence facility. There was a significant correlation between the amplitude of vergence adaptation and the amplitude of the break vergence range. CONCLUSIONS: The lack of correlation between the blur vergence range and the vergence facility is not likely because of vergence adaptation. The lack of correlation between the break vergence range and the vergence facility may be in part caused by vergence adaptation. PMID: 20655282 [PubMed - as supplied by publisher]

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