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Developing age-reference values for convergence and visual attention assessments.

Nicola Gavin1, Lauren R Hepworth2, Fiona J Rowe2

  • 1Department of Orthoptics, Warrington and Halton Hospitals NHS Trust, Warrington, UK.

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|November 6, 2025
PubMed
Summary
This summary is machine-generated.

This study establishes normative values for near point of convergence and visual inattention tasks in healthy older adults. These findings provide crucial benchmarks for clinical assessments in aging populations.

Keywords:
Acquired brain injurycancellationconvergencedominancehandednessline bisectionnormative valuesstroke

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Area of Science:

  • Ophthalmology
  • Neuroscience
  • Gerontology

Background:

  • Lack of established definitions and cutoff values for impaired near point of convergence (NPC) and visual inattention tasks in older adults.
  • Need for normative data in a non-clinical population with healthy eyes and cognition.

Purpose of the Study:

  • To investigate measurements, response times, and accuracy for NPC and visual inattention tasks in adults over 50 years.
  • To establish normative ranges for future clinical comparisons.

Main Methods:

  • Prospective cross-sectional study of 240 adults aged 50+ with healthy eyes and cognition.
  • Recorded average of three NPC measurements.
  • Assessed accuracy and speed of line bisection and clock cancellation tasks using dominant and non-dominant hands.

Main Results:

  • Mean NPC was 9.22 cm, decreasing slightly with age.
  • Established error cutoff for line bisection at 6 mm, with better accuracy on the 10-line task.
  • Determined error cutoff for clock cancellation at 42, with a mean completion time of 1.5 minutes.

Conclusions:

  • Reported normative ranges for older adults (>50 years) for NPC and visual inattention.
  • These ranges can be used for clinical comparisons.
  • Further research is needed for acquired brain injury populations.