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Early resolution of convergence spasms following the addition of antipsychotic medications.

Hyun HJ, Chung US, Chun BY - Korean J Ophthalmol (2011)

Bottom Line: We report a case of early resolution of convergence spasms following the addition of antipsychotic medications and present it as a possible alternative to the conventional treatment for convergence spasms.The cessation of atropinization of the eyes and the use of reading glasses was achieved after only 2 months following the initiation of antipsychotic medications for childhood emotional disorder.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea.

ABSTRACT
We report a case of early resolution of convergence spasms following the addition of antipsychotic medications and present it as a possible alternative to the conventional treatment for convergence spasms. The cessation of atropinization of the eyes and the use of reading glasses was achieved after only 2 months following the initiation of antipsychotic medications for childhood emotional disorder.

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Related in: MedlinePlus

The patient was orthophoric at distance.
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Figure 1: The patient was orthophoric at distance.

Mentions: A 7-year-old female presented complaining of intermittent diplopia and blurred vision for 2 months. The patient reported that her visual symptoms were most severe during the daytime. Her best corrected visual acuity was 20/100 in each eye. The results of an ocular motility examination were normal. During an ocular alignment examination, she was found to be orthophoric at distance (Fig. 1). However, variable degrees (10 to 30 prism diopters [PD]) of esodeviation and miotic pupils were evident only at near fixation (Fig. 2). Her esodeviation did not change with the addition of +3.0 diopters (D) lenses. Autorefraction was performed and -10 D of high myopia was found in each eye. However, cycloplegic refraction revealed that both eyes were nearly emmetropic (+0.5 D). The patient also complained of frequent headaches and abdominal pain; the results of all physical and neurological examinations were normal, including a brain magnetic resonance imaging with contrast. The patient was diagnosed with convergence spasms and was referred to the psychiatry department for her somatic complaints. Plus lenses (+1.5 D) for reading were prescribed for atropinization of her eyes.


Early resolution of convergence spasms following the addition of antipsychotic medications.

Hyun HJ, Chung US, Chun BY - Korean J Ophthalmol (2011)

The patient was orthophoric at distance.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3039200&req=5

Figure 1: The patient was orthophoric at distance.
Mentions: A 7-year-old female presented complaining of intermittent diplopia and blurred vision for 2 months. The patient reported that her visual symptoms were most severe during the daytime. Her best corrected visual acuity was 20/100 in each eye. The results of an ocular motility examination were normal. During an ocular alignment examination, she was found to be orthophoric at distance (Fig. 1). However, variable degrees (10 to 30 prism diopters [PD]) of esodeviation and miotic pupils were evident only at near fixation (Fig. 2). Her esodeviation did not change with the addition of +3.0 diopters (D) lenses. Autorefraction was performed and -10 D of high myopia was found in each eye. However, cycloplegic refraction revealed that both eyes were nearly emmetropic (+0.5 D). The patient also complained of frequent headaches and abdominal pain; the results of all physical and neurological examinations were normal, including a brain magnetic resonance imaging with contrast. The patient was diagnosed with convergence spasms and was referred to the psychiatry department for her somatic complaints. Plus lenses (+1.5 D) for reading were prescribed for atropinization of her eyes.

Bottom Line: We report a case of early resolution of convergence spasms following the addition of antipsychotic medications and present it as a possible alternative to the conventional treatment for convergence spasms.The cessation of atropinization of the eyes and the use of reading glasses was achieved after only 2 months following the initiation of antipsychotic medications for childhood emotional disorder.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea.

ABSTRACT
We report a case of early resolution of convergence spasms following the addition of antipsychotic medications and present it as a possible alternative to the conventional treatment for convergence spasms. The cessation of atropinization of the eyes and the use of reading glasses was achieved after only 2 months following the initiation of antipsychotic medications for childhood emotional disorder.

Show MeSH
Related in: MedlinePlus