A benign syndrome of transient loss of accommodation in young patients.
OBJECTIVE
To describe a benign condition of transient, isolated accommodation paralysis in young patients as a specific entity.


METHODS
Case series of children and young adults with transient loss of accommodation who were referred to the neuro-ophthalmology clinic at the Meir Medical Center from 1997 to 2006. Five young patients who complained of an inability to read had full neuro-ophthalmological examinations. Those who were found to have isolated accommodation paralysis without any other related ocular or systemic findings were prescribed reading glasses and followed up.


RESULTS
All 5 patients had isolated loss of accommodation. No one had other ocular, neurological, or systemic abnormalities that could be associated with accommodation paralysis; they all did well with near correction. Accommodation returned to normal within 3 to 14 months in all 5 patients.


CONCLUSIONS
An isolated transient loss of accommodation unrelated to any other ocular or systemic manifestations may occur in children and young adults and may be considered a specific idiopathic entity.
Almog
Yehoshua
Y
Department of Ophthalmology, Neuro-Ophthalmology Unit, Meir Medical Center, Kfar-Saba, Israel. shuky.almog@gmail.com
D000065:Accommodation, Ocular; D000293:Adolescent; D000328:Adult; D002648:Child; D005133:Eye Movements; D005139:Eyeglasses; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013577:Syndrome; D014786:Vision Disorders / Q000209:etiology* / Q000628:therapy; D015348:Vision, Binocular; D055815:Young Adult