| Methods and Effect of Management of Patients with Convergence Spasm and Aquired Pseudomyopia. |
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Il Joo Kwon, Suk Gyu Ha, Seung Hyun Kim |
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Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. ansaneye@hanmail.net |
| 후천 가성근시와 눈모음연축을 동반한 환자의 치료방법과 효과 |
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권일주⋅하석규⋅김승현 |
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고려대학교 의과대학 안과학교실 |
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Received: 6 March 2015 • Revised: 9 April 2015 • Accepted: 3 July 2015 |
| Abstract |
PURPOSE
To evaluate changes in the degree of pseudomyopia and prognosis in patients with convergence spasm and acquired pseudomyopia. METHODS: The medical records of patients with convergence spasm and acquired pseudomyopia at the Korea University Medical Center from 2011 to 2014 were identified. We reviewed the patients' gender, age, onset time, visual acuity, refractive error, angle of strabismic deviation and the selected management (cycloplegics, patching, cycloplegics + patching, prism glasses). RESULTS: At the first medical examination, the mean age was 20.08 years. The mean spherical equivalent was -3.75 diopter (D) in the right eye and -4.03 D in the left eye based on manifest refraction and -2.59 D in right eye and -2.85 D in left eye using cycloplegic refraction. Eleven of 12 patients had esodeviation with a mean esodeviation of 10.42 D. The pupil size was 3.63 mm in the right eye and 3.63 mm in the left eye. No patient experienced severe miosis (pupil size <2 mm). Observation (5), patching (3), cycloplegics (2), patching + cycloplegics (1) and prism (1) management were performed in 12 patients. Outcomes included completely cured (3), improvement (7) and no change or recurrence (2). CONCLUSIONS: Active management is necessary for patients with convergence spasm and acquired pseudomyopia. |
| Key Words:
Accommodative spasm;Convergence spasm;Near reflex spasm;Pseudomyopia |
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