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Updated: Oct 1, 2026

Simulating the Mechanics of Lens Accommodation via a Manual Lens Stretcher
Published on: February 23, 2018
Spasm of the near reflex mimicking deteriorating accommodative esotropia
1School of Optometry, University of Alabama at Birmingham, 35294-0010, USA. rrutstein@icare.opt.uab.edu
Purpose:
To describe a patient with accommodative esotropia who developed spasm of the near reflex.
Case Report:
A 6-year-old girl with a history of successfully treated refractive, accommodative esotropia suddenly developed spasm of the near reflex after the death of a relative. The condition resolved after 2 months.
Conclusion:
Spasm of the near reflex should be considered in children with accommodative esotropia who seem to deteriorate and become esotropic once again while wearing their hyperopic glasses.
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