Misdiagnosis of spasm near reflex

Journal Article
SA, Al-Obeidan . 1995
Magazine \ Newspaper: 
Saudi Journal of Ophthalmology
Issue Number: 
1
Volume Number: 
9
Pages: 
40 to 42
Publication Abstract: 

Abstract:
Spasm of the near reflex is characterized by intermittent attacks of convergence, accommodation and miosis.  It typically affectsyoung adultsand is frequently psychogenic.  The author describes the case of a 17-year-old female with spasm of the near reflex manifesting with headache, diplopia, reduced vision, esotropia, and limitation of abduction.  The case re-emphasizes the importance of considering spasm of the near reflex in the differential diagnosis of any patient with esotropia associated with headache and reduced vision.

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