Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Accommodative spasm: a study of 17 cases.

R P Rutstein1, K M Daum, J F Amos

  • 1School of Optometry, University of Alabama, Birmingham 35294.

Journal of the American Optometric Association
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical description and review of migraine aura without headache.

Optometry (St. Louis, Mo.)·2004
Same author

Motorist vision policy.

Optometry (St. Louis, Mo.)·2004
Same author

Hypercapnia invokes an acute loss of contrast sensitivity in untreated glaucoma patients.

The British journal of ophthalmology·2001
Same author

Acquired unilateral visual loss attributed to an accommodative spasm.

Optometry and vision science : official publication of the American Academy of Optometry·2001
Same author

Board certification in optometry.

Optometry (St. Louis, Mo.)·2000
Same author

BVAT distance vs. near stereopsis screening of strabismus, strabismic amblyopia and refractive amblyopia; a prospective study of 68 patients.

Binocular vision & strabismus quarterly·2000
Same journal

Visual skills profiles.

Journal of the American Optometric Association·2014
Same journal

Dark adaptation and night blindness.

Journal of the American Optometric Association·2014
Same journal

Scleral tonometry.

Journal of the American Optometric Association·2014
Same journal

Staying in shape: the different roads to fitness for busy optometrists.

Journal of the American Optometric Association·2000
Same journal

Hiring a new optometrist? Be prepared!

Journal of the American Optometric Association·2000
Same journal

Late traumatic intraocular lens extrusion after penetrating keratoplasty.

Journal of the American Optometric Association·2000
See all related articles

Accommodative spasm (AS), a rare condition, often linked to psychogenic factors, showed limited full recovery with treatments like plus lenses and vision therapy in a study of 17 patients.

Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Vision Science

Background:

  • Accommodative spasm (AS) is an uncommon condition affecting the eye's focusing mechanism.
  • Previous literature on accommodative spasm is sparse, necessitating further clinical investigation.
  • Many patients with AS are clinically emmetropic, complicating diagnosis.

Purpose of the Study:

  • To investigate the clinical characteristics, etiology, and treatment outcomes of accommodative spasm.
  • To explore the association between accommodative spasm and spasm of the near reflex (SNR).
  • To evaluate the effectiveness of various therapeutic interventions for accommodative spasm.

Main Methods:

  • Retrospective analysis of 17 patients diagnosed with accommodative spasm.

Related Experiment Videos

  • Clinical examination including assessment of refractive error and visual fields.
  • Review of patient histories to identify potential psychogenic etiologies.
  • Evaluation of treatment modalities including plus reading lenses, orthoptic training, and psychological counseling.

    • Main Results:

    • The majority of patients studied were clinically emmetropic.
    • Ten patients (over 50%) also presented with spasm of the near reflex (SNR).
    • Psychogenic factors were identified as the probable cause in most cases.
    • While visual symptoms improved in most patients, complete resolution of the spasm was achieved in only four patients.

    Conclusions:

    • Accommodative spasm is frequently associated with psychogenic factors and can co-occur with spasm of the near reflex.
    • Treatment with plus reading lenses and orthoptic training offers symptomatic improvement but limited complete resolution.
    • Further research into the management of accommodative spasm, particularly its psychogenic origins, is warranted.