RT Journal Article T1 Comparison of Four Methods for Measuring Heterophoria and Accommodative Convergence over Accommodation Ratio A1 Nores Palmás, Noelia A1 Noya Padín, Verónica A1 Yebra-Pimentel Vilar, Eva A1 Giráldez Fernández, María Jesús A1 Pena Verdeal, Hugo K1 Heterophoria K1 AC/A ratio K1 OptoTab SERIES K1 Cover Test K1 Modified Thorington test K1 Von Graefe AB The study aimed to assess the agreement between OptoTab SERIES, alternating Cover Test, Modified Thorington test, and Von Graefe method in measuring heterophoria and accommodative convergence over accommodation (AC/A) ratio. In an initial step, heterophoria was assessed at both distance and near in a cohort of 76 healthy young volunteers using the previously described tests. Subsequently, to determine the AC/A ratio, near-vision measurements were repeated with +1.00 D and −1.00 D lenses. All tests were performed in a randomized order across participants under consistent conditions. Significant differences were found between the Modified Thorington test and all other tests at distance (Wilcoxon test, all p ≤ 0.001) and between Von Graefe and all other tests at near (Wilcoxon test, all p ≤ 0.005). Regarding the AC/A ratio, significant differences were observed between all methods in +1.00 D AC/A ratio, except for the Modified Thorington test vs. the alternating Cover Test (Wilcoxon test, p = 0.024). In the −1.00 D AC/A ratio, differences were observed between OptoTab POCKET and all the other tests (Wilcoxon test, all p ≤ 0.001). The results indicate that all methods are interchangeable except the Modified Thorington test at distance and Von Graefe at near. For the AC/A ratio, only the Modified Thorington test is interchangeable with the alternating Cover Test using +1.00 D lenses and all are interchangeable using −1.00 D lenses except OptoTab POCKET. PB MDPI SN 2411-5150 YR 2024 FD 2024-10-18 LK https://hdl.handle.net/10347/37540 UL https://hdl.handle.net/10347/37540 LA eng NO Nores-Palmas N, Noya-Padin V, Yebra-Pimentel E, Giraldez MJ, Pena-Verdeal H. Comparison of Four Methods for Measuring Heterophoria and Accommodative Convergence over Accommodation Ratio. Vision. 2024; 8(4):62 DS Minerva RD 24 abr 2026