Relentless bilateral accommodation spasm in an adolescent treated with clear lens extraction

Q4 Medicine
Renato Correia Barbosa, José Alberto Lemos
{"title":"Relentless bilateral accommodation spasm in an adolescent treated with clear lens extraction","authors":"Renato Correia Barbosa, José Alberto Lemos","doi":"10.1097/j.jcro.0000000000000113","DOIUrl":null,"url":null,"abstract":"Introduction: Pathologic accommodation spasm occurs when persistent contraction of the ciliary muscle of the eye induces pseudomyopia. The purpose of this report was to describe the case of an adolescent with recurrent ciliary spasm, refractory to medical treatment for several years. Patient and Clinical Findings: A 10-year-old girl was evaluated because of complaints of decreased visual acuity (VA) and frequent headaches. Diagnosis, Intervention and Outcomes: The diagnosis of pseudomyopia due to accommodation spasm was established. No organic causes were detected. She started treatment with cycloplegics, which were successively titrated at different doses, along with the use of spectacles, over the following years. After 7 years of follow-up, the lack of efficacy of treatment and intolerance to its side effects demanded further action, so a clear lens extraction was performed, with the implantation of continuous focus transition multifocal intraocular lenses. Her final uncorrected distance VA was 6/6 in each eye, with good intermediate vision and J1 near vision with +2.00 addition. Conclusions: In severe cases of ciliary spasm, medical therapy and spectacle prescription may not be sufficient to control the disease. Intraocular lens implantation may be the only remaining therapeutic option to provide quality of life to the patient.","PeriodicalId":14598,"journal":{"name":"JCRS Online Case Reports","volume":"13 1","pages":"e00113"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JCRS Online Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/j.jcro.0000000000000113","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Pathologic accommodation spasm occurs when persistent contraction of the ciliary muscle of the eye induces pseudomyopia. The purpose of this report was to describe the case of an adolescent with recurrent ciliary spasm, refractory to medical treatment for several years. Patient and Clinical Findings: A 10-year-old girl was evaluated because of complaints of decreased visual acuity (VA) and frequent headaches. Diagnosis, Intervention and Outcomes: The diagnosis of pseudomyopia due to accommodation spasm was established. No organic causes were detected. She started treatment with cycloplegics, which were successively titrated at different doses, along with the use of spectacles, over the following years. After 7 years of follow-up, the lack of efficacy of treatment and intolerance to its side effects demanded further action, so a clear lens extraction was performed, with the implantation of continuous focus transition multifocal intraocular lenses. Her final uncorrected distance VA was 6/6 in each eye, with good intermediate vision and J1 near vision with +2.00 addition. Conclusions: In severe cases of ciliary spasm, medical therapy and spectacle prescription may not be sufficient to control the disease. Intraocular lens implantation may be the only remaining therapeutic option to provide quality of life to the patient.
一名青少年在接受透明晶状体摘除术治疗后出现持续性双侧调节痉挛
导读:当眼睫肌持续收缩引起假性近视时,发生病理性调节痉挛。本报告的目的是描述的情况下,反复发作的青少年纤毛痉挛,难治性药物治疗数年。患者和临床表现:一名10岁女孩因视力下降(VA)和频繁头痛的投诉而接受评估。诊断、干预和结果:确定了调节痉挛引起的假性近视的诊断。未发现器质性原因。她开始治疗睫状体麻痹症,在接下来的几年里,随着眼镜的使用,治疗剂量逐渐增加。随访7年后,由于治疗效果不佳,且对其不良反应不耐受,需要进一步采取措施,因此行透明晶状体摘除,植入连续焦过渡多焦人工晶状体。最终未矫正距离VA为每只眼6/6,中间视力良好,近视力J1, +2.00。结论:重症睫状肌痉挛患者,药物治疗和眼镜处方可能不足以控制病情。人工晶状体植入术可能是为患者提供生活质量的唯一剩余治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
JCRS Online Case Reports
JCRS Online Case Reports Medicine-Ophthalmology
CiteScore
0.30
自引率
0.00%
发文量
22
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信