Clear lens extraction for the treatment of persistent accommodative spasm after head trauma.
We report the case of a 28-year-old man with decreased visual acuity after closed head trauma sustained in a motor vehicle accident 16 weeks earlier. Several structures thought to be associated with the control of accommodation were injured. The patient had a persistent accommodative spasm causing up to 7.0 diopters of pseudomyopia. We present the patient's progress through the clinic, including manifest and cycloplegic refractions and results of a trial with atropine drops, and successful transition to bilateral pseudophakia 2 years and 9 months after the accident.
McMurray
Catherine J
CJ
Department of Ophthalmology, Christchurch Hospital, Christchurch, New Zealand. mark.elder@cdhb.govt.nz
Burley
Celeste D
CD
Elder
Mark J
MJ
D000063:Accidents, Traffic; D000065:Accommodation, Ocular; D000328:Adult; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D009128:Muscle Spasticity / Q000209:etiology / Q000601:surgery*; D009216:Myopia / Q000209:etiology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D018918:Phacoemulsification; D013035:Spasm / Q000209:etiology / Q000601:surgery*; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery; D014792:Visual Acuity