Spasm of the near reflex mimicking deteriorating accommodative esotropia.
OBJECTIVE
To describe a patient with accommodative esotropia who developed spasm of the near reflex.


METHODS
A 6-year-old girl with a history of successfully treated refractive, accommodative esotropia suddenly developed spasm of the near reflex after the death of a relative. The condition resolved after 2 months.


CONCLUSIONS
Spasm of the near reflex should be considered in children with accommodative esotropia who seem to deteriorate and become esotropic once again while wearing their hyperopic glasses.
School of Optometry, University of Alabama at Birmingham, 35294-0010, USA. rrutstein@icare.opt.uab.edu
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D000065:Accommodation, Ocular; D002648:Child; D003937:Diagnosis, Differential; D004948:Esotropia / Q000150:complications* / Q000175:diagnosis; D005133:Eye Movements; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D013035:Spasm; D014792:Visual Acuity