--- title: neos® sensorimotor exam description: neos® enables ophthalmologists and optometrists to perform an automated ocular alignment exam in multiple positions of gaze, important for billing the sensorimotor exam. image: https://www.machinemd.com/hubfs/Lara%20Varjo.png --- [![MachineMD\_RGB\_C\_BrightBG](https://www.machinemd.com/hubfs/MachineMD_RGB_C_BrightBG.svg "MachineMD_RGB_C_BrightBG")](https://www.machinemd.com?hsLang=en) - [neos](https://www.machinemd.com/neos) - [pupillometry](https://www.machinemd.com/neos/quantitative-pupillometry) - [ocular alignment](https://www.machinemd.com/neos/ocular-alignment) - [science](https://www.machinemd.com/science) - [oculometrics](https://www.machinemd.com/oculometrics) - [Multiple Sclerosis](https://www.machinemd.com/multiple-sclerosis) - [Myasthenia Gravis](https://www.machinemd.com/myasthenia-gravis) - [Huntington's Disease](https://www.machinemd.com/huntingtons-disease) - [Parkinson's Disease](https://www.machinemd.com/parkinsons-disease) - 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[neos](https://www.machinemd.com/neos) - [pupillometry](https://www.machinemd.com/neos/quantitative-pupillometry) - [ocular alignment](https://www.machinemd.com/neos/ocular-alignment) - [science](https://www.machinemd.com/science) - [oculometrics](https://www.machinemd.com/oculometrics) - [Multiple Sclerosis](https://www.machinemd.com/multiple-sclerosis) - [Myasthenia Gravis](https://www.machinemd.com/myasthenia-gravis) - [Huntington's Disease](https://www.machinemd.com/huntingtons-disease) - [Parkinson's Disease](https://www.machinemd.com/parkinsons-disease) - [Progressive Supranuclear Palsy](https://www.machinemd.com/progressive-supranuclear-palsy) - [Alzheimer's Disease](https://www.machinemd.com/alzheimers-disease) - [Brain Tumors](https://www.machinemd.com/brain-tumors) - [Stroke](https://www.machinemd.com/stroke) - [Traumatic Brain Injury](https://www.machinemd.com/traumatic-brain-injury) - [Niemann Pick Type C](https://www.machinemd.com/niemann-pick-type-c) - [Gaucher Disease](https://www.machinemd.com/gaucher-disease) - [NAION](https://www.machinemd.com/naion) - [Idiopathic Intracranial Hypertension](https://www.machinemd.com/idiopathic-intracranial-hypertension) - [about](https://www.machinemd.com/about) - [news](https://www.machinemd.com/news) - [contact](https://www.machinemd.com/contact) [![MachineMD\_RGB\_C\_DarkBG\[5718\]](https://www.machinemd.com/hs-fs/hubfs/MachineMD_RGB_C_DarkBG%5B5718%5D.png?width=200&height=26&name=MachineMD_RGB_C_DarkBG%5B5718%5D.png "MachineMD_RGB_C_DarkBG[5718]")](https://www.machinemd.com?hsLang=en) - [neos](https://www.machinemd.com/neos) - [pupillometry](https://www.machinemd.com/neos/quantitative-pupillometry) - [ocular alignment](https://www.machinemd.com/neos/ocular-alignment) - [science](https://www.machinemd.com/science) - [oculometrics](https://www.machinemd.com/oculometrics) - [Multiple Sclerosis](https://www.machinemd.com/multiple-sclerosis) - [Myasthenia Gravis](https://www.machinemd.com/myasthenia-gravis) - [Huntington's Disease](https://www.machinemd.com/huntingtons-disease) - [Parkinson's Disease](https://www.machinemd.com/parkinsons-disease) - [Progressive Supranuclear Palsy](https://www.machinemd.com/progressive-supranuclear-palsy) - [Alzheimer's Disease](https://www.machinemd.com/alzheimers-disease) - [Brain Tumors](https://www.machinemd.com/brain-tumors) - [Stroke](https://www.machinemd.com/stroke) - [Traumatic Brain Injury](https://www.machinemd.com/traumatic-brain-injury) - [Niemann Pick Type C](https://www.machinemd.com/niemann-pick-type-c) - [Gaucher Disease](https://www.machinemd.com/gaucher-disease) - [NAION](https://www.machinemd.com/naion) - [Idiopathic Intracranial Hypertension](https://www.machinemd.com/idiopathic-intracranial-hypertension) - [about](https://www.machinemd.com/about) - [news](https://www.machinemd.com/news) - [contact](https://www.machinemd.com/contact) [LinkedIn](https://www.linkedin.com/company/machinemd/) [Follow us on Facebook](https://twitter.com/md_machine) ![machineMD-neos4-1](https://www.machinemd.com/hs-fs/hubfs/machineMD-neos4-1.jpg?width=2000&height=1125&name=machineMD-neos4-1.jpg "machineMD-neos4-1") ![neos\_r\_Logo\_neg](https://www.machinemd.com/hs-fs/hubfs/neos_r_Logo_neg.png?width=564&height=138&name=neos_r_Logo_neg.png) # Sensorimotor exam neos® digitizes and automates multiple measurements of ocular alignment, in different gaze positions, with assessment of positive fusional vergence, into a standardized workflow with objective quantitative reporting.1,2 1[CPT Code 92060 for the Sensorimotor Exam: Answers to Your FAQs - American Academy of Ophthalmology](https://www.aao.org/eyenet/article/cpt-code-92060-for-the-sensorimotor-exam) 2 [Sensory Motor Testing Defined](https://www.reviewofoptometry.com/article/sensory-motor-testing-defined) # Built on Established Clinical Practice A standardized sensorimotor examination is a fundamental component of neuro-ophthalmic assessment. The American Association for Pediatric Ophthalmology and Strabismus (AAPOS) outlines the established principles of sensorimotor examination3 and its role in clinical practice including in optometry.4 neos® is designed to objectively and quantitatively perform multiple examinations, including ocular alignment and fusional vergence amplitude, as described in the intended use. For U.S. clinical practice, the American Academy of Ophthalmology (AAO) explains that CPT® 92060 applies to comprehensive sensorimotor examinations involving multiple measurements of ocular deviation, written report and interpretation, highlighting the importance of standardized documentation.5   [3AAPOS – Sensorimotor Examination (Policy Statement)](https://higherlogicdownload.s3.amazonaws.com/AAPOS/159c8d7c-f577-4c85-bf77-ac8e4f0865bd/UploadedImages/Policy_Statements/Sensorimotor_Examination.pdf)  4American Optometric Association, Clinical Practice Guideline: Care of the Patient with Strabismus: Esotropia and Exotropia, Revised 2010   [5American Academy of Ophthalmology (AAO) - CPT® Code 92060 for the Sensorimotor Exam](https://www.aao.org/eyenet/article/cpt-code-92060-for-the-sensorimotor-exam)    # Why sensorimotor examinations matter  A sensorimotor examination provides an objective assessment of binocular function and ocular motor control, by measuring how the eyes are aligned, how they move, and how effectively they work together as a functional unit; to help identify potential eye muscle and nerve problems that a regular eye exam may miss.   This examination is an essential component of evaluating patients with diplopia, strabismus, binocular vision and potential neuro-ophthalmic issues, and other conditions affecting eye movements.6 #### Ocular Alignment  Measured at distance in 9 Cardinal positions of gaze   Hess-style visualizations of strabismus angles  Quantitative assessment of strabismus angles (phorias7 & tropias8)   ##### Fusional Vergence  Maximum amount the eyes can converge (positive horizontal fusional vergence) while still maintaining a single, clear image        ##### Standardized Workflow  Automated exam with a head-mounted display operated by a technician Objective eye-movement test that can be integrated into binocular vision assessments  Quantitative reporting and video-oculography recording - 6[https://eyewiki.org/Sensory\_and\_Motor\_Testing](https://eyewiki.org/Sensory_and_Motor_Testing) - 7[Phoria i.e. a latent (hidden) misalignment of the eyes that only appears when binocular vision is interrupted (i.e., by covering one eye)](https://pmc.ncbi.nlm.nih.gov/articles/PMC11193068/%20 ) - 8[Tropia i.e. a visible eye misalignment when both eyes are open](https://pmc.ncbi.nlm.nih.gov/articles/PMC11193068/%20 ) # One workflow. One report.  Quantitative eye movement and binocular vision assessment integrated into one quantitative and easy to read report (neos sensorimotor exam ) - Clear, quantitative, documentation in PDF format - Enables measurement monitoring over time - Export PDF and video-oculography recording - Report data export for additional analysis available ![Sensorimotor-1](https://www.machinemd.com/hs-fs/hubfs/Sensorimotor-1.png?width=436&height=600&name=Sensorimotor-1.png "Sensorimotor-1") # Built for Ophthalmology, Optometry and Orthoptics Can be used by various eye health care providers across different pratice settings (clinic/hospital) and age groups (peds/adults/geriatrics)  neos®  standardizes, automates, and quantifies functional eye movements and pupil exams to transform subjective binocular vision assessment into objective, quantitative, and reproducible measurements.  neos® sensorimotor exam supports the evaluation of strabismus, diplopia, binocular vision disorders, and neuro-ophthalmic conditions affecting eye movements. ![icon\_ophthalmologist\_white](https://www.machinemd.com/hs-fs/hubfs/icon_ophthalmologist_white.png?width=220&height=180&name=icon_ophthalmologist_white.png "icon_ophthalmologist_white") ![icons\_optometrist\_white](https://www.machinemd.com/hs-fs/hubfs/icons_optometrist_white.png?width=240&height=190&name=icons_optometrist_white.png "icons_optometrist_white") ![icon\_orthoptist\_white](https://www.machinemd.com/hs-fs/hubfs/icon_orthoptist_white.png?width=178&height=190&name=icon_orthoptist_white.png "icon_orthoptist_white") machineMD is proud to work with clinical partners around the world, including [![20cd007\_logo\_dxp\_usz](https://19556649.fs1.hubspotusercontent-na1.net/hub/19556649/hubfs/20cd007_logo_dxp_usz.jpg?width=1200&length=1200&name=20cd007_logo_dxp_usz.jpg)](https://www.usz.ch/fachbereich/augenklinik/angebot/neuroophthalmologie/) ![USC-Roski-logo-1200x600-1-1024x512](https://19556649.fs1.hubspotusercontent-na1.net/hub/19556649/hubfs/USC-Roski-logo-1200x600-1-1024x512.jpg?width=1200&length=1200&name=USC-Roski-logo-1200x600-1-1024x512.jpg) ![WEH\_Hospital\_Logo-horizontal-Maraschino-copy](https://19556649.fs1.hubspotusercontent-na1.net/hub/19556649/hubfs/WEH_Hospital_Logo-horizontal-Maraschino-copy.png?width=1200&length=1200&name=WEH_Hospital_Logo-horizontal-Maraschino-copy.png) [![bochum](https://www.machinemd.com/hs-fs/hubfs/bochum-1.png?width=1200&length=1200&name=bochum-1.png)](https://www.klinikum-bochum.de/fachbereiche/neurologie/fachbereich.html) [![Inselspital](https://www.machinemd.com/hs-fs/hubfs/1280px-Inselspital.png?width=1200&length=1200&name=1280px-Inselspital.png)](https://www.insel.ch/) [![LUKS](https://www.machinemd.com/hs-fs/hubfs/LUKS.png?width=1200&length=1200&name=LUKS.png)](https://www.luks.ch/) Dive into our latest studies and market research.   [Discover the science](https://www.machinemd.com/news/study-shows-great-potential-to-automate-quantitative-pupillometric-tests?hsLang=en) In addition to quantitative pupillometry, neos® provides a comprehensive assessment of eye alignment, eye movements, and more.   [Learn more](https://www.machinemd.com/neos?hsLang=en) Get started with neos® ##### SWITZERLAND Our partners at Von Hoff AG are ready to help you get started with neos®  in Switzerland. [Learn more](https://www.vonhoff.ch/artikel/machinemd_neos/) [![Von-Hoff-Logo](https://www.machinemd.com/hs-fs/hubfs/Von-Hoff-Logo.png?width=190&height=47&name=Von-Hoff-Logo.png "Von-Hoff-Logo")](https://www.vonhoff.ch/artikel/machinemd_neos/) ##### Europe neos® is certified as a Class IIa medical device under the EU-MDR, and registered with the MHRA in the UK.  [Contact Us](https://www.machinemd.com/neos/sensorimotor#contact_us) ##### USA neos® is a Class I medical device registered in the US. Our team at machineMD Inc. is based in Boston, MA. . [Contact Us](https://www.machinemd.com/neos/sensorimotor#contact_us) ### Contact Us For all other markets, and to find out more about research collaborations with machineMD, please complete the below form: ![MachineMD\_RGB\_C\_DarkBG\[5718\]](https://www.machinemd.com/hs-fs/hubfs/MachineMD_RGB_C_DarkBG%5B5718%5D.png?width=200&height=26&name=MachineMD_RGB_C_DarkBG%5B5718%5D.png "MachineMD_RGB_C_DarkBG[5718]") [career](https://www.machinemd.com/career?hsLang=en) [certifications](https://www.machinemd.com/quality-policy?hsLang=en) [imprint and privacy policy](https://www.machinemd.com/imprint?hsLang=en) [Follow us on LinkedIn](https://www.linkedin.com/company/machinemd) ![](https://f.hubspotusercontent00.net/hubfs/7712601/back-to-top.png) © machineMD AG 2026 | All rights reserved. ```json { "@context" : "https://schema.org", "@type" : "MedicalDevice", "alternateName" : "neos", "brand" : { "@type" : "Brand", "name" : "machineMD" }, "category" : "Ophthalmology | Neurology", "description" : "Automated, standardized quantitative pupillometry including the RAPD neoscore from an automated swinging flashlight test.", "deviceClass" : [ "EU: Class IIa", "UK: Class IIa", "CH: Class IIa", "US: Class I" ], "isAccessoryOrSparePartFor" : "Neuro-ophthalmic examination", "manufacturer" : { "@type" : "Organization", "address" : { "@type" : "PostalAddress", "addressCountry" : "Switzerland", "addressLocality" : "Bern" }, "name" : "machineMD AG" }, "name" : "neos®", "purpose" : "Provides objective measurements of afferent and efferent pupillary function; supports diagnosis and monitoring in EU/CH/UK.", "url" : "https://www.machinemd.com/neos/quantitative-pupillometry" } ``` ```json { "@context" : "https://schema.org", "@type" : "FAQPage", "mainEntity" : [ { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "neos® measures afferent and efferent pupillary function using standardized stimuli and reports quantitative parameters, including an RAPD neoscore derived from an automated swinging flashlight test." }, "name" : "What does quantitative pupillometry with neos® measure?" }, { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "neos® quantitative binocular pupillometry runs an automated test sequence in under three minutes." }, "name" : "How long does quantitative pupillometry take?" }, { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "neos® is intended to be used by health care professionals in clinical settings (e.g., ophthalmology, optometry, neurology). In the EU/CH/UK, neos® results support diagnosis and monitoring; in the US, neos® provides objective, quantitative measurements." }, "name" : "Who is intended to use neos®?" } ] } ```