title: Monocular accommodative fluctuations associated with temporomandibular joint syndrome.
abstract: A young scientist reported severe headaches emanating from behind one eye with an associated intermittent monocular blur. The monocular near cross-cylinder test revealed an accommodative fluctuation of one eye alone with a range of approximately 3 D. Referral to a neuro-ophthalmologist failed to produce a diagnosis for the disorder. A subsequent routine visit to a dentist provided a diagnosis of Costen's temporomandibular joint (TMJ) syndrome, a condition that is commonly misdiagnosed as a variety of neurological and vascular disorders.
authors.affiliation: Smith-Kettlewell Eye Research Foundation, San Francisco, California.
authors.forename: S B
authors.initials: SB
authors.lastname: Steinman
authors.forename: B A
authors.initials: BA
authors.lastname: Steinman
authors.forename: M C
authors.initials: MC
authors.lastname: Nielsen
mesh_terms: D000065:Accommodation, Ocular; D000328:Adult; D005157:Facial Pain / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications*; D014786:Vision Disorders / Q000209:etiology* / Q000503:physiopathology; D014787:Vision Tests; D014792:Visual Acuity