{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T17:00:06Z","timestamp":1791651606008,"version":"4.3.4"},"reference-count":53,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"National Hockey League Alumni Association"},{"name":"NFL Players Association"},{"name":"Boston Children\u2019s Ophthalmology Foundation Discovery Award"}],"content-domain":{"domain":["ajo.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Ophthalmology"],"published-print":{"date-parts":[[2019,10]]},"DOI":"10.1016\/j.ajo.2019.04.008","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T12:25:58Z","timestamp":1555503958000},"page":"235-244","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":48,"special_numbering":"C","title":["Postconcussion: Receded Near Point of Convergence is not Diagnostic of Convergence\u00a0Insufficiency"],"prefix":"10.1016","volume":"206","author":[{"given":"Aparna","family":"Raghuram","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan A.","family":"Cotter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sowjanya","family":"Gowrisankaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jameel","family":"Kanji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Howell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"William P.","family":"Meehan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankoor S.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.ajo.2019.04.008_bib1","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/00001199-200609000-00001","article-title":"The epidemiology and impact of traumatic brain injury: a brief overview","volume":"21","author":"Langlois","year":"2006","journal-title":"J Head Trauma Rehabil"},{"issue":"7","key":"10.1016\/j.ajo.2019.04.008_bib2","doi-asserted-by":"crossref","first-page":"e160294","DOI":"10.1001\/jamapediatrics.2016.0294","article-title":"Point of health care entry for youth with concussion within a large pediatric care network","volume":"170","author":"Arbogast","year":"2016","journal-title":"JAMA Pediatr"},{"issue":"1","key":"10.1016\/j.ajo.2019.04.008_bib3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1136\/bjsports-2012-091941","article-title":"American Medical Society for Sports Medicine position statement: concussion in sport","volume":"47","author":"Harmon","year":"2013","journal-title":"Br J Sports Med"},{"issue":"10","key":"10.1016\/j.ajo.2019.04.008_bib4","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1177\/0363546514543775","article-title":"A brief Vestibular\/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings","volume":"42","author":"Mucha","year":"2014","journal-title":"Am J Sports Med"},{"issue":"1","key":"10.1016\/j.ajo.2019.04.008_bib5","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/WNO.0000000000000223","article-title":"Diagnostic tests for concussion: is vision part of the puzzle?","volume":"35","author":"Ventura","year":"2015","journal-title":"J Neuroophthalmol"},{"issue":"1","key":"10.1016\/j.ajo.2019.04.008_bib6","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3171\/2016.7.PEDS16310","article-title":"Clinical predictors of vestibulo-ocular dysfunction in pediatric sports-related concussion","volume":"19","author":"Ellis","year":"2017","journal-title":"J Neurosurg Pediatr"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib7","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/JSM.0000000000000439","article-title":"Near point of convergence and gait deficits in adolescents after sport-related concussion","volume":"28","author":"Howell","year":"2018","journal-title":"Clin J Sport Med"},{"issue":"12","key":"10.1016\/j.ajo.2019.04.008_bib8","doi-asserted-by":"crossref","first-page":"3055","DOI":"10.1177\/0363546515606430","article-title":"Near point of convergence after a sport-related concussion: measurement reliability and relationship to neurocognitive impairment and symptoms","volume":"43","author":"Pearce","year":"2015","journal-title":"Am J Sports Med"},{"issue":"1","key":"10.1016\/j.ajo.2019.04.008_bib9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1097\/OPX.0000000000000910","article-title":"Near point of convergence after concussion in children","volume":"94","author":"Storey","year":"2017","journal-title":"Optom Vis Sci"},{"issue":"7","key":"10.1016\/j.ajo.2019.04.008_bib10","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/00006324-199807000-00019","article-title":"Normative values for the nearpoint of convergence of elementary schoolchildren","volume":"75","author":"Hayes","year":"1998","journal-title":"Optom Vis Sci"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib11","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/00006324-200303000-00011","article-title":"Nearpoint of convergence: test procedure, target selection, and normative data","volume":"80","author":"Scheiman","year":"2003","journal-title":"Optom Vis Sci"},{"key":"10.1016\/j.ajo.2019.04.008_bib12","series-title":"Theory and practice of optics and refraction","author":"Khurana","year":"2017"},{"issue":"9","key":"10.1016\/j.ajo.2019.04.008_bib13","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1055\/s-0042-100470","article-title":"Vestibular and oculomotor assessments may increase accuracy of subacute concussion assessment","volume":"37","author":"McDevitt","year":"2016","journal-title":"Int J Sports Med"},{"issue":"2","key":"10.1016\/j.ajo.2019.04.008_bib14","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/0363546516668624","article-title":"A positive Vestibular\/Ocular Motor Screening (VOMS) is associated with increased recovery time after sports-related concussion in youth and adolescent athletes","volume":"45","author":"Anzalone","year":"2017","journal-title":"Am J Sports Med"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib15","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/0009922815594367","article-title":"Vision diagnoses are common after concussion in adolescents","volume":"55","author":"Master","year":"2016","journal-title":"Clin Pediatr (Phila)"},{"issue":"7","key":"10.1016\/j.ajo.2019.04.008_bib16","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1001\/jamaophthalmol.2016.1085","article-title":"Association of football subconcussive head impacts with ocular near point of convergence","volume":"134","author":"Kawata","year":"2016","journal-title":"JAMA Ophthalmol"},{"issue":"9","key":"10.1016\/j.ajo.2019.04.008_bib17","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/00006324-199909000-00022","article-title":"Frequency of convergence insufficiency among fifth and sixth graders","volume":"76","author":"Rouse","year":"1999","journal-title":"Optom Vis Sci"},{"issue":"1","key":"10.1016\/j.ajo.2019.04.008_bib18","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1001\/archopht.123.1.14","article-title":"A randomized clinical trial of treatments for convergence insufficiency in children","volume":"123","author":"Scheiman","year":"2005","journal-title":"Arch Ophthalmol"},{"issue":"12","key":"10.1016\/j.ajo.2019.04.008_bib19","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1097\/OPX.0000000000000975","article-title":"Home-based therapy for symptomatic convergence insufficiency in children: a randomized clinical trial","volume":"93","year":"2016","journal-title":"Optom Vis Sci"},{"issue":"11","key":"10.1016\/j.ajo.2019.04.008_bib20","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport: the 5th International Conference on Concussion in Sport, Berlin, Germany, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.ajo.2019.04.008_bib21","series-title":"Clinical management of binocular vision: heterophoric, accommodative, and eye movement disorders","author":"Scheiman","year":"2014"},{"issue":"5","key":"10.1016\/j.ajo.2019.04.008_bib22","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1046\/j.1475-1313.2001.00609.x","article-title":"Differences in the nearpoint of convergence with target type","volume":"21","author":"Siderov","year":"2001","journal-title":"Ophthal Physiol Opt"},{"key":"10.1016\/j.ajo.2019.04.008_bib23","series-title":"Bennett & Rabbetts\u2019 Clinical Visual Optics","author":"Rabbetts","year":"2007"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib24","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/BF00140808","article-title":"Accommodative dysfunction","volume":"55","author":"Daum","year":"1983","journal-title":"Doc Ophthalmol"},{"key":"10.1016\/j.ajo.2019.04.008_bib25","series-title":"Clinical Procedures in Primary Eye Care","first-page":"147","article-title":"Assessment of binocular vision and accommodation, 4th ed.","author":"Barrett","year":"2013"},{"key":"10.1016\/j.ajo.2019.04.008_bib26","series-title":"Optometry: Science, Techniques and Clinical Management","first-page":"230","article-title":"Clinical Assessment of Accommodation, 2nd ed.","author":"Rosenfield","year":"2009"},{"issue":"6","key":"10.1016\/j.ajo.2019.04.008_bib27","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1111\/j.1475-1313.2004.00234.x","article-title":"Statistical normal values of visual parameters that characterize binocular function in children","volume":"24","author":"Jimenez","year":"2004","journal-title":"Ophthal Physiol Opt"},{"key":"10.1016\/j.ajo.2019.04.008_bib28","series-title":"Clinical procedures in optometry","first-page":"xv","author":"Eskridge","year":"1991"},{"issue":"12","key":"10.1016\/j.ajo.2019.04.008_bib29","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.optm.2009.06.011","article-title":"Treatment of accommodative and nonstrabismic binocular dysfunctions: a systematic review","volume":"80","author":"Cacho Martinez","year":"2009","journal-title":"Optometry"},{"issue":"10","key":"10.1016\/j.ajo.2019.04.008_bib30","first-page":"821","article-title":"Accommodative facility: a study of young adults","volume":"53","author":"Garzia","year":"1982","journal-title":"J Am Optom Assoc"},{"issue":"11","key":"10.1016\/j.ajo.2019.04.008_bib31","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1097\/OPX.0b013e31822f4d7c","article-title":"Treatment of accommodative dysfunction in children: results from a randomized clinical trial","volume":"88","author":"Scheiman","year":"2011","journal-title":"Optom Vis Sci"},{"issue":"5","key":"10.1016\/j.ajo.2019.04.008_bib32","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/01.opx.0000216097.78951.7b","article-title":"Accommodative insufficiency is the primary source of symptoms in children diagnosed with convergence insufficiency","volume":"83","author":"Marran","year":"2006","journal-title":"Optom Vis Sci"},{"key":"10.1016\/j.ajo.2019.04.008_bib33","doi-asserted-by":"crossref","first-page":"6963","DOI":"10.1155\/2016\/6963976","article-title":"Convergence insufficiency, accommodative insufficiency, visual symptoms, and astigmatism in Tohono O'odham students","volume":"2016","author":"Davis","year":"2016","journal-title":"J Ophthalmol"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib34","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1113\/jphysiol.1957.sp005829","article-title":"The reciprocal actions of accommodation and convergence","volume":"137","author":"Fincham","year":"1957","journal-title":"J Physiol"},{"issue":"6","key":"10.1016\/j.ajo.2019.04.008_bib35","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/00006324-198806000-00006","article-title":"Influence of accommodative and vergence adaptation on binocular motor disorders","volume":"65","author":"Schor","year":"1988","journal-title":"Am J Optom Physiol Opt"},{"key":"10.1016\/j.ajo.2019.04.008_bib36","first-page":"730","article-title":"Ocular divergence mechanisms","volume":"68","author":"Jampolsky","year":"1970","journal-title":"Trans Am Ophthalmol Soc"},{"key":"10.1016\/j.ajo.2019.04.008_bib37","first-page":"132","article-title":"Studies in monocular and binocular accommodation, with their clinical application","volume":"20","author":"Duane","year":"1922","journal-title":"Trans Am Ophthalmol Soc"},{"key":"10.1016\/j.ajo.2019.04.008_bib38","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/0065955X.1977.11982428","article-title":"Hypoaccommodation and convergence insufficiency","volume":"27","author":"Bugola","year":"1977","journal-title":"Am Orthopt J"},{"issue":"7","key":"10.1016\/j.ajo.2019.04.008_bib39","first-page":"548","article-title":"Exotropia associated with defective accommodation","volume":"58","author":"Rutstein","year":"1987","journal-title":"J Am Optom Assoc"},{"issue":"4","key":"10.1016\/j.ajo.2019.04.008_bib40","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.optm.2006.11.011","article-title":"Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis","volume":"78","author":"Ciuffreda","year":"2007","journal-title":"Optometry"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib41","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1682\/JRRD.2009.04.0041","article-title":"Accommodation in mild traumatic brain injury","volume":"47","author":"Green","year":"2010","journal-title":"J Rehabil Res Dev"},{"issue":"2","key":"10.1016\/j.ajo.2019.04.008_bib42","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1097\/JSM.0000000000000507","article-title":"Vision and vestibular system dysfunction predicts prolonged concussion recovery in children","volume":"28","author":"Master","year":"2018","journal-title":"Clin J Sport Med"},{"issue":"2","key":"10.1016\/j.ajo.2019.04.008_bib43","doi-asserted-by":"crossref","first-page":"e018734","DOI":"10.1136\/bmjopen-2017-018734","article-title":"Longitudinal changes in oculomotor function in young adults with mild traumatic brain injury in Sweden: an exploratory prospective observational study","volume":"8","author":"Matuseviciene","year":"2018","journal-title":"BMJ Open"},{"issue":"10","key":"10.1016\/j.ajo.2019.04.008_bib44","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1001\/archopht.126.10.1336","article-title":"Randomized clinical trial of treatments for symptomatic convergence insufficiency in children","volume":"126","year":"2008","journal-title":"Arch Ophthalmol"},{"issue":"4","key":"10.1016\/j.ajo.2019.04.008_bib45","first-page":"137","article-title":"Convergence insufficiency-a major review","volume":"83","author":"Cooper","year":"2012","journal-title":"Optometry"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib46","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/0002-9394(57)92346-2","article-title":"Convergence insufficiency and its managements; an evaluation of 100 patients receiving a course of orthoptics","volume":"43","author":"Passmore","year":"1957","journal-title":"Am J Ophthalmol"},{"key":"10.1016\/j.ajo.2019.04.008_bib47","series-title":"Binocular vision and ocular motility: theory and management of strabismus","first-page":"xvi","author":"Von Noorden","year":"2002"},{"issue":"4","key":"10.1016\/j.ajo.2019.04.008_bib48","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/00006324-199504000-00002","article-title":"The influence of refractive correction upon disorders of vergence and accommodation","volume":"72","author":"Dwyer","year":"1995","journal-title":"Optom Vis Sci"},{"issue":"10","key":"10.1016\/j.ajo.2019.04.008_bib49","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1016\/j.visres.2008.02.015","article-title":"Binocular adaptation to near addition lenses in emmetropic adults","volume":"48","author":"Sreenivasan","year":"2008","journal-title":"Vision Res"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib50","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/cxo.12458","article-title":"The effect of spectacle treatment in patients with mild traumatic brain injury: a pilot study","volume":"100","author":"Johansson","year":"2017","journal-title":"Clin Exp Optom"},{"issue":"4","key":"10.1016\/j.ajo.2019.04.008_bib51","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/00006324-200204000-00012","article-title":"Convergence Insufficiency Reading Study (CIRS) Group. Reliability of binocular vision measurements used in the classification of convergence insufficiency","volume":"79","author":"Rouse","year":"2002","journal-title":"Optom Vis Sci"},{"issue":"10","key":"10.1016\/j.ajo.2019.04.008_bib52","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1177\/0363546517705640","article-title":"Convergence insufficiency identifies athletes at risk of prolonged recovery from sport-related concussion","volume":"45","author":"DuPrey","year":"2017","journal-title":"Am J Sports Med"},{"issue":"3","key":"10.1016\/j.ajo.2019.04.008_bib55","first-page":"214","article-title":"Convergence Insufficiency Treatment Trial: Attention and Reading Trial (CITT-ART): Design and Methods","volume":"1","author":"Scheiman","year":"2015","journal-title":"Vis Dev Rehabil"}],"container-title":["American Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002939419301825?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002939419301825?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:41:26Z","timestamp":1762080086000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002939419301825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":53,"alternative-id":["S0002939419301825"],"URL":"https:\/\/doi.org\/10.1016\/j.ajo.2019.04.008","relation":{},"ISSN":["0002-9394"],"issn-type":[{"value":"0002-9394","type":"print"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postconcussion: Receded Near Point of Convergence is not Diagnostic of Convergence\u00a0Insufficiency","name":"articletitle","label":"Article Title"},{"value":"American Journal of Ophthalmology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajo.2019.04.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}