Accommodative spasm with bilateral vision loss due to untreated intermittent exotropia in an adult

Authors

  • V Shanker Paediatric Ophthalmology and Strabismus, Dr Shroff’s Charity Eye Hospital, Daryaganj, New Delhi
  • S Ganesh Paediatric Ophthalmology and Strabismus, Dr Shroff’s Charity Eye Hospital, Daryaganj, New Delhi
  • S Sethi Department of Ophthalmology, BPS Government Medical College for Women, Sonepat, Haryana

DOI:

https://doi.org/10.3126/nepjoph.v4i2.6552

Keywords:

Pseudomyopia, intermittent exotropia, accommodative spasm, vision therapy

Abstract

Background: Intermittent exotropia (IXT) is an exodeviation intermittently controlled by fusional mechanisms. Patients with IXT may present with asthenopic symptoms, blurred vision, headaches, diplopia or visual confusion and reading difficulties; especially after prolonged periods of near work.

Objective: To report the presentation and management of a young adult with intractable accommodative spasm secondary to long standing intermittent exotropia.

Case: The patient was found to have bilateral accommodative spasm with high pseudomyopia and severe impairment of vision. There was a tendency for recurrence with discontinuation of cycloplegics.

Conclusion: A total relief of symptoms was noticed after strabismus surgery was undertaken for the exotropia. A detailed orthoptic evaluation with emphasis on recognizing accommodative spasm as an unusual presentation of IXT, could aid in appropriate diagnosis and treatment of such cases.

DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6552

Nepal J Ophthalmol 2012; 4 (2): 319-322

Downloads

Download data is not yet available.
Abstract
1825
PDF
1135

Downloads

Published

2012-07-26

How to Cite

Shanker, V., Ganesh, S., & Sethi, S. (2012). Accommodative spasm with bilateral vision loss due to untreated intermittent exotropia in an adult. Nepalese Journal of Ophthalmology, 4(2), 319–322. https://doi.org/10.3126/nepjoph.v4i2.6552

Issue

Vol. 4 No. 2 (2012)

Section

Case Reports

License

This license enables reusers to copy and distribute the material in any medium or format in unadapted form only, for noncommercial purposes only, and only so long as attribution is given to the creator.