title: Adie syndrome: evidence for refractive error and accomodative asymmetry as the cause of amblyopia.
abstract: OBJECTIVE
  To report objective changes in accommodation in a child with Adie syndrome.
  
  
  METHODS
  A child aged 2 years 10 months when initially examined was found to have good visual acuity in both eyes, a low degree of hypermetropia (isometropic), and Adie pupil presumed to be caused by chicken pox that had occurred 2 months earlier. Amblyopia developed but responded well to treatment, which involved correction of the refractive error and occlusion therapy. Objective changes in the refraction of the eye were measured on the Canon R1 autorefractor at 3.8 m and 33 cm.
  
  
  RESULTS
  The degree of accommodation in the affected eye when both eyes were open was markedly reduced.
  
  
  CONCLUSIONS
  The presence of isometropic hypermetropia, which remains uncorrected when Adie syndrome is present, can lead to the development of amblyopia in a child.
authors.affiliation: Department of Ophthalmology and Orthoptics, University of Sheffield, United Kingdom. a.firth@sheffield.ac.uk
authors.forename: A Y
authors.initials: AY
authors.lastname: Firth
mesh_terms: D000065:Accommodation, Ocular; D000270:Adie Syndrome / Q000150:complications*; D000550:Amblyopia / Q000209:etiology* / Q000628:therapy; D002675:Child, Preschool; D006801:Humans; D008297:Male; D012030:Refractive Errors / Q000150:complications* / Q000628:therapy; D012683:Sensory Deprivation; D014792:Visual Acuity