Voluntary Control of the Near Reflex: A Case Report

Spasm of the near reflex is a rare disorder that involves intermittent and variable episodes of esotropia, pseudomyopia, and pupillary myosis. It is usually functional in origin and is seen mainly in young patients. Treatment options for spasm of the near reflex have had variable success. In instanc...

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Bibliographic Details
Published inTurk oftalmoloji gazetesi Vol. 44; no. 2; pp. 161 - 163
Main Authors Serpil Akar, Birsen Gökyiğit, Ebru Demet Aygıt, Pelin Kaynak, Ahmet Demirok
Format Journal Article
LanguageEnglish
Published Galenos Yayinevi 01.03.2014
Subjects
accommodative spasm
myosis
pseudomyopia
Spasm of the near reflex
strabismus
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Summary:Spasm of the near reflex is a rare disorder that involves intermittent and variable episodes of esotropia, pseudomyopia, and pupillary myosis. It is usually functional in origin and is seen mainly in young patients. Treatment options for spasm of the near reflex have had variable success. In instances where the etiology of spasm of the near reflex was suspected to be hysteria, psychotherapy has proven beneficial. We report the case of an 11-year-old girl who had functional spasm of the near reflex. The symptoms persisted for two years. Symptomatic relief was achieved by cycloplegia and spectacle correction (added plus lenses at near). The patient also underwent psychological counseling. In our case, the functional spasm of the near reflex spontaneously resolved after 2 years. (Turk J Ophthalmol 2014; 44: 161-3
ISSN:1300-0659
2147-2661
DOI:10.4274/tjo.03525