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Clear lens extraction for the treatment of persistent accommodative spasm after head trauma
Catherine J McMurray1, Celeste D Burley, Mark J Elder
1Department of Ophthalmology, Christchurch Hospital, Christchurch, New Zealand. mark.elder@cdhb.govt.nz
Abstract:
We report the case of a 28-year-old man with decreased visual acuity after closed head trauma sustained in a motor vehicle accident 16 weeks earlier. Several structures thought to be associated with the control of accommodation were injured. The patient had a persistent accommodative spasm causing up to 7.0 diopters of pseudomyopia. We present the patient's progress through the clinic, including manifest and cycloplegic refractions and results of a trial with atropine drops, and successful transition to bilateral pseudophakia 2 years and 9 months after the accident.
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