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Published on: July 6, 2017
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.
Insights
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.
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.
Abstract:
Acute comitant esotropia in a child has a mixed set of differentials and we present a report of three cases in children who presented with acute onset diplopia. On careful history taking, all the kids reported an excessive use of the smart phone in the preceding month. We hypothesise that excessive use of the smart phone at near leads to excessive stimulation of ciliary muscle, hence accommodative spasm in these children. This is the first case series to report an association of smart phones and accommodative spasm.
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