At the start of NRV and PRV testing, what are the typical accommodation and convergence demands to fuse/clear the target?

• A. 3.00 D and 20 Δ
• B. 2.50 D and 15 Δ
• C. 1.00 D and 5 Δ
• D. 4.00 D and 25 Δ

Answer: (B)

At the start of near vergence testing, the target is placed at a typical near distance so you can gauge the eyes’ natural demands to fuse and clear it. The accommodative demand depends on how close the target is: at about 40 cm, you need roughly 1/0.40 = 2.50 diopters of accommodation. For convergence, use the average interpupillary distance to estimate how much vergence is required to maintain single vision at that distance. With an average IPD around 6 cm, the required convergence is about IPD/distance = 6 cm / 40 cm ≈ 15 prism diopters. So starting demands of about 2.50 D of accommodation and 15 Δ of convergence reflect typical near conditions and provide a standard baseline for NRV/PRV testing. Options that imply a different distance or an unusually large or small IPD would represent nonstandard starting demands, which is why 2.50 D and 15 Δ is the best fit.