Misdiagnosis of spasm near reflex
Journal Article
SA, Al-Obeidan . 1995
Publication Online URL:
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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