Physical examination maneuver
Physical Exam
Convergence
also known as Near point of convergence (NPC) test
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Video coming September 2026
How to Perform
Hold a target (your fingertip or a pen) about an arm's length in front of the patient and ask them to keep it in focus as you move it slowly toward the bridge of the nose. Watch both eyes turn inward (adduct) and observe the pupils, and identify the near point of convergence, the point at which one eye can no longer hold fixation and drifts outward.
How to Interpret
Showing 2 of 3 findings
Prolonged Recovery After Sport-related Concussion
Convergence insufficiency (receded near point of convergence) at the initial visit, in an athlete with established sport-related concussion
Rule in
Somewhat helpful
Rule out
Somewhat helpful
Evidence:Limited
Vestibular Migraine
Receded near point of convergence (measured by moving a target toward the nose)
Rule in
—
Rule out
Very helpful
Evidence:Limited