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Smartphone Fundus Photography
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Diplopia after Excessive Smart Phone Usage.

Savleen Kaur1, Jaspreet Sukhija1, Rahul Khanna1

  • 1Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Neuro-Ophthalmology (Aeolus Press)
|November 20, 2019
PubMed
Summary

Excessive smartphone use in children may trigger accommodative spasm, leading to acute esotropia and double vision. This case series highlights a potential link between digital device usage and this eye condition.

Keywords:
Diplopiaaccommodative spasmsmart phone

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Neuro-ophthalmology

Background:

  • Acute comitant esotropia presents with varied differential diagnoses in pediatric patients.
  • Diplopia is a common presenting symptom requiring thorough investigation.

Observation:

  • Three pediatric cases of acute onset diplopia were analyzed.
  • Detailed patient history revealed excessive smartphone usage in the month preceding symptom onset.

Findings:

  • A hypothesis suggests that prolonged near work on smartphones overstimulates the ciliary muscle.
  • This overstimulation may induce accommodative spasm, resulting in acute esotropia.
  • This study is the first to report a potential association between smartphone use and accommodative spasm in children.

Implications:

  • Findings suggest a novel environmental factor contributing to pediatric eye conditions.
  • Clinicians should consider excessive digital device use when evaluating children with acute esotropia.
  • Further research is warranted to confirm the link between smartphone habits and accommodative spasm.