Pseudomyopia in a patient with blocked ventriculo-peritoneal shunt--a case report.
Accommodative spasm usually encompasses a classical triad of pseudomyopia, esodeviation and pupillary constriction. Accommodative spasm is most often psychogenic in nature; however, it may be associated with other organic diseases of which a rare cause is that of intracranial catheter complications. We report a case of dorsal midbrain syndrome with pseudomyopia in a patient with a blocked ventriculo-peritoneal shunt inserted for aqueductal stenosis. Clinical presentation was unusual in this patient as pseudomyopia occurred with exodeviation and without pupillary constriction.
Voon
L W
LW
Department of Ophthalmology, Tan Tock Seng Hospital, Singapore.
Goh
K Y
KY
Lim
T H
TH
Tan
K K
KK
Yong
V S
VS
D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D004948:Esotropia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D008636:Mesencephalon; D015877:Miosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009216:Myopia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012086:Reoperation; D013577:Syndrome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*