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

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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

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