Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 5 Issue 2

Accommodative Spasm on Teenage

Hari R1* and Shrijana Chaudhary2

1Assistant Professor, Vittala International Institute of Ophthalmology, Hosakerehalli, Banashankari Bangalore, India
2Intern (Final Year), Vittala International Institute of Ophthalmology, Hosakerehalli, Banashankari Bangalore, India

*Corresponding Author: Hari R, Assistant Professor, Vittala International Institute of Ophthalmology, Hosakerehalli, Banashankari Bangalore, India.

Received: December 20, 2021; Published: January 31, 2022

Abstract

>A 16 year old girl complaint of severe headache especially in occipital area since 2 weeks. History of long hours of computer usage more than 6 hours a day. No any ocular trauma or any head injury, or any significant medical history.

On examination her unaided visual acuity was found to be 6/6 monocularly and on slit lamp examination anterior segment was within the normal limit. Then dry auto refraction value was taken which was RE: -6.50 dsp/-0.75 dcyl at 31 and LE: -3.50 dsp/-0.50 dcyl at 4. Near point of convergence was measured by help of RAF ruler and it was 6cm. Also near point of accommodation was measured by help of RAF ruler and it was RE: 20D, LE: 6D and Binocularly 20D. Subjective refraction was done and she didn’t accept any power her BCVA for distance was 6/6 and near was n6 (blur) monocularly and.

Then cycloplegic refraction was advised for her and cyclopentolate drops was used to rule out accommodative spasm and after that wet auto refraction value was taken which was RE: +0.50 dsp/-0.50 dcyl at 14 and LE: +0.75 dsp/-0.75 dcyl at 4 which show that the patients had accommodative spasm.

Keywords: Accommodative Spasm; Hypermetropia; Headache

References

  1. Rutstein RP., et al. “Accommodative spasm: A study of 17 cases”. Journal of the American Optometric Association 59 (1988): 527-538.
  2. Sitole S and Jay WM. “Spasm of the near reflex in a patient with multiple sclerosis”. Seminar on Ophthalmology 22 (2007): 29-31.
  3. Laura Lindberg. “Spasm of Accommodation”. Duodecim2 (2014): 168-173.
  4. G A Peinado., et al. “Unilateral accommodation spasm: Case report and literature review”. Archivos de la Sociedad Española de Oftalmología (Engl Ed)6 (2019): 285-287.
  5. Lind T., et al. “Diagnosis of accommodative spasm aided by handheld photoscreener”. Journal of Binocular Vision and Ocular Motility 1 (2020): 37-39.
  6. Kayla Snipes Vickers. “Clinical findings and management of; accommodative spasm” (2013).
  7. Rutstein RP. “Accommodative spasm in siblings: A uniquie finding”. Indian Journal of Ophthalmology4 (2010): 326-327.

Citation

Citation: Hari R and Shrijana Chaudhary. “Accommodative Spasm on Teenage".Acta Scientific Ophthalmology 5.2 (2022): 41-42.

Copyright

Copyright: © 2022 Hari R and Shrijana Chaudhary. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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