Purpose: Spasm of the near reflex (SNR) is a triad of miosis. excess accommodation and excess convergence. Primary SNR is most often functional in origin We aim to highlight the clinical features which distinguish primary convergence from other conditions with a similar presentation but more sinister underlying aetiology. for example bilateral abducens nerve palsy. https://allfixelectricales.shop/product-category/rangehood-switch-lever/