This chapter reviews the stimuli for vergence, the properties of
fusional and accommodative vergence, as well as vergence made in
combination with saccades or vestibular eye movements, or blinks.
Different properties of horizontal, vertical, and torsional vergence
are discussed. Current models are presented to account for
interactions between vergence and saccades. The neural substrate for
vergence movements is reviewed from ocular motoneurons to the midbrain
supraoculomotor area, to visual cortical areas such as MST and frontal
eye field, including pontine nuclei, cerebellar vermis, and fastigial
nucleus. Adaptive properties of vergence are reviewed, especially
phoria adaptation, discussing the role of the cerebellum. The bedside
and laboratory evaluation of vergence is summarized and the
pathophysiology of disorders of vergence discussed, including
developmental disorders associated with childhood strabismus and
acquired disorders such as convergence spasm, convergence
insufficiency, vergence forms of nystagmus such as
convergence-retraction nystagmus, and effects of focal pontine
lesions.