Spasme d'accommodation unilateral: un piege diagnostic! [Unilateral accommodation spasm: a diagnostic pitfall!]

Détails

ID Serval
serval:BIB_FAE7224322FF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Spasme d'accommodation unilateral: un piege diagnostic! [Unilateral accommodation spasm: a diagnostic pitfall!]
Périodique
Klinische Monatsblatter fur Augenheilkunde
Auteur(s)
Bernasconi  O., Borruat  F. X.
ISSN
0023-2165 (Print)
Statut éditorial
Publié
Date de publication
05/1998
Volume
212
Numéro
5
Pages
392-3
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Résumé
BACKGROUND: Accommodation-convergence spasm (spasm of the near reflex) is usually bilateral, resulting in increased myopia, convergence, and miosis. Unilateral spasm of accommodation has rarely been reported. PATIENTS: We investigated three females (age range 10-19 years) referred for investigations of retrobulbar optic neuritis (2 cases) and decompensated esophoria (1 case). RESULTS: They all presented unilateral spasm of accommodation with visual loss due to increased myopia (-3.5 to -11.75 diopters). Apart from that, results of neuro-ophthalmological examination were normal. CONCLUSIONS: Unilateral accommodation spasm is rare and can mimic retrobulbar optic neuritis and convergent strabismus. The three components of the accommodation-convergence spasm may not always be present simultaneously. Recognizing such an entity is important to prevent the patient from useless, costful and potentially harmful investigations.
Mots-clé
Accommodation, Ocular/*physiology Adolescent Adult Child Convergence, Ocular/*physiology Diagnosis, Differential Female Humans Myopia/*etiology/physiopathology Spasm/*etiology/physiopathology Strabismus/*etiology/physiopathology Visual Acuity/physiology
Pubmed
Web of science
Création de la notice
28/01/2008 12:37
Dernière modification de la notice
20/08/2019 16:26
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