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.
Rutstein
R P
RP
School of Optometry, University of Alabama at Birmingham, 35294-0010, USA. rrutstein@icare.opt.uab.edu
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