Related Experiment Videos
Persistent accommodative spasm nine years after head trauma.
1Pediatric Eye Clinic University of Wisconsin Hospital and Clinics, Madison 53792.
Journal of Clinical Neuro-Ophthalmology
|September 1, 1987
Summary
Spasm of the near reflex, often functional in young adults, can present as accommodative spasm or convergence spasm. While typically resolving spontaneously after trauma, persistent symptoms like accommodative spasm can occur long-term.
Area of Science:
- Ophthalmology
- Neuroscience
Background:
- Spasm of the near reflex is frequently associated with functional disorders in young adults, often linked to emotional issues.
- It can manifest as accommodative spasm (pseudomyopia) or convergence spasm, sometimes with miosis during lateral gaze.
Observation:
- Convergence spasm with miosis during lateral gaze suggests a functional etiology.
- Near reflex disorders following trauma usually resolve within 1-2 years.
Findings:
- Accommodative spasm and convergence spasm can occur in isolation or combination.
- A case is presented of persistent accommodative spasm 9 years post-motor vehicle accident.
Implications:
- Persistent accommodative spasm warrants further investigation beyond typical functional or post-traumatic presentations.
- Understanding the long-term sequelae of near reflex disorders is crucial for patient management.