Acute adult onset comitant esotropia associated with accommodative spasm.
Optom Vis Sci
; 91(4 Suppl 1): S46-51, 2014 Apr.
Article
in En
| MEDLINE
| ID: mdl-24584303
ABSTRACT
PURPOSE:
Acute onset comitant esotropia associated with spasm of accommodation in children and adults is a rare clinical condition. When occurring with pupillary miosis and restricted ocular motility, it is referred to as "spasm of near reflex" (SNR) and may require neurological investigation. The natural history of SNR depends on its etiology. There is little information in the literature regarding the long-term follow-up of SNR and the stability of visual signs and symptoms following cessation of treatment. We report a case of SNR in an otherwise healthy young male, and discuss the presentation, clinical investigations, management, response to treatment, and 1-year follow-up. CASE REPORT A 23-year-old male patient reported to the clinic with sudden onset of blurred vision, inward deviation of the eyes, and binocular diplopia. On examination, he was diagnosed to have acute onset esotropia resulting from SNR. He was treated with cycloplegic medications and vision therapy. The condition resolved following 1 year and there has been no recurrence.CONCLUSIONS:
Acute adult onset esotropia occurring with accommodative spasm responds favorably to cycloplegic medications but may need a longer course of treatment for successful resolution and stability.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ocular Motility Disorders
/
Esotropia
/
Accommodation, Ocular
Type of study:
Diagnostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Optom Vis Sci
Journal subject:
OPTOMETRIA
Year:
2014
Type:
Article
Affiliation country:
India