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Accommodative spasm with bilateral vision loss due to untreated intermittent
exotropia in an adult
(Spasme accommodatif avec baisse bilatérale
de la vision causé par une exotropie intermittente non traitée chez un adulte)
Shanker V, Ganesh S, Sethi S.
Paediatric Ophthalmology and Strabismus Dr Shroff's Charity Eye Hospital,Daryaganj,
New Delhi, India.
BACKGROUND : Intermittent exotropia (IXT) is an exodeviation intermittently controlled by fusional mechanisms. Patients with IXT may present with asthenopic symptoms, blurred vision, headaches, diplopia or visual confusion and reading difficulties; especially after prolonged periods of near work.
OBJECTIVE : To report the presentation and management of a young adult with intractable accommodative spasm secondary to long standing intermittent exotropia.
CASE : The patient was found to have bilateral accommodative spasm with high pseudomyopia and severe impairment of vision. There was a tendency for recurrence with discontinuation of cycloplegics.
CONCLUSION : A total relief of symptoms was noticed after strabismus surgery was undertaken for the exotropia. A detailed orthoptic evaluation with emphasis on recognizing accommodative spasm as an unusual presentation of IXT, could aid in appropriate diagnosis and treatment of such cases.
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bibliographie de Juillet 2012
(Dernière mise à jour de cette page le 30/12/12)