Unilateral accommodation spasm: Case report and literature review
G A Peinado1, P Merino Sanz1, I Del Cerro Pérez1
1Sección de Motilidad Ocular, Departamento de Oftalmología, HGU Gregorio Marañón, Madrid, España.
Archivos De La Sociedad Espanola De Oftalmologia
|March 7, 2019
Summary
This case report details a rare unilateral accommodation spasm in a 10-year-old girl. Treatment with atropine eye drops improved her distance visual acuity, highlighting a potential therapeutic approach for this condition.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Accommodation spasm is a rare condition affecting the eye's focusing ability.
- It is typically bilateral, making unilateral cases unusual.
Observation:
- A 10-year-old girl presented with decreased visual acuity in her right eye.
- Refraction showed significant myopization without cycloplegia, contrasting with a near-normal result with cycloplegia.
- Ocular motility, pupillary reflexes, and imaging (OCT, MRI) were normal.
Findings:
- The patient was diagnosed with a probable unilateral accommodation spasm.
- Treatment with 1% atropine drops for 15 days resulted in improved distance visual acuity.
- This suggests a positive response to cycloplegic medication.
Implications:
- Unilateral accommodation spasm, though rare, should be considered in pediatric patients with unexplained visual disturbances.
- While imaging is recommended to rule out trauma, pharmacological treatment with cycloplegics can be effective.
- Further research is needed to establish definitive treatment guidelines for this condition.
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