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Wikipedia

Pseudomyopia

Pseudomyopia (from ψεῦδο, "pseudo": false; and μυωπία "myopia": near sight) occurs when a spasm of the ciliary muscle prevents the eye from focusing in the distance, sometimes intermittently; this is different from myopia which is caused by the eye's shape or other basic anatomy. Pseudomyopia may be either organic, through stimulation of the parasympathetic nervous system, or functional in origin, through eye strain or fatigue of ocular systems. It is common in young adults who have active accommodation, and classically occurs after a change in visual requirements, such as students preparing for an exam, or a change in occupation.

Pseudomyopia
SpecialtyOphthalmology Optometry
SymptomsBlurring of vision, asthenopia

Signs and symptoms edit

The following symptoms may be seen in patients with pseudomyopia

  • Blurring of distance vision: Intermittent blurring of distant vision after prolonged near work is the main symptom of pseudomyopia.
  • Asthenopia
  • Headache
  • Eyestrain
  • Photophobia[1]
  • Esotropia: Acute onset esotropia may occur in accommodative spasm, which is the common cause of pseudomyopia. [2]
  • Diplopia: Diplopia may occur due to esotropia or convergence spasm

The diagnosis is done by cycloplegic refraction using a strong cycloplegic like atropine or homatropine eye drops. Accommodative amplitude and facility may be reduced as a result of the ciliary muscle spasm.

Treatment edit

Treatment is dependent on the underlying aetiology. Organic causes may include systemic or ocular medications, brain stem injury, or active ocular inflammation such as uveitis. Functional pseudomyopia is managed though modification of working conditions, an updated refraction, typically involving a reduction of a myopic prescription to some lower myopic prescription, or through appropriate ocular exercises.

See also edit

References edit

  1. ^ "Pseudomyopia - symptoms". PSEUDOMYOPIA - false nearsightedness.
  2. ^ "Acute Adult Onset Comitant Esotropia Associated with Accommodative Spasm".

Chan R, Trobe J (2002). "Spasm of accommodation associated with closed head trauma". J Neuroophthalmol. 22 (1): 15–7. doi:10.1097/00041327-200203000-00005. PMID 11937900. S2CID 10768702.

Chentsova O, Shatalov O (2002). "Comparative analysis of the efficacy of some methods of conservative treatment of accommodation spasms and myopia in children". Vestn Oftalmol. 118 (6): 10–2. PMID 12506647.

pseudomyopia, from, ψεῦδο, pseudo, false, μυωπία, myopia, near, sight, occurs, when, spasm, ciliary, muscle, prevents, from, focusing, distance, sometimes, intermittently, this, different, from, myopia, which, caused, shape, other, basic, anatomy, either, orga. Pseudomyopia from pseῦdo pseudo false and mywpia myopia near sight occurs when a spasm of the ciliary muscle prevents the eye from focusing in the distance sometimes intermittently this is different from myopia which is caused by the eye s shape or other basic anatomy Pseudomyopia may be either organic through stimulation of the parasympathetic nervous system or functional in origin through eye strain or fatigue of ocular systems It is common in young adults who have active accommodation and classically occurs after a change in visual requirements such as students preparing for an exam or a change in occupation PseudomyopiaSpecialtyOphthalmology OptometrySymptomsBlurring of vision asthenopia Contents 1 Signs and symptoms 2 Treatment 3 See also 4 ReferencesSigns and symptoms editThe following symptoms may be seen in patients with pseudomyopia Blurring of distance vision Intermittent blurring of distant vision after prolonged near work is the main symptom of pseudomyopia Asthenopia Headache Eyestrain Photophobia 1 Esotropia Acute onset esotropia may occur in accommodative spasm which is the common cause of pseudomyopia 2 Diplopia Diplopia may occur due to esotropia or convergence spasmThe diagnosis is done by cycloplegic refraction using a strong cycloplegic like atropine or homatropine eye drops Accommodative amplitude and facility may be reduced as a result of the ciliary muscle spasm Treatment editTreatment is dependent on the underlying aetiology Organic causes may include systemic or ocular medications brain stem injury or active ocular inflammation such as uveitis Functional pseudomyopia is managed though modification of working conditions an updated refraction typically involving a reduction of a myopic prescription to some lower myopic prescription or through appropriate ocular exercises See also editRefractionReferences edit Pseudomyopia symptoms PSEUDOMYOPIA false nearsightedness Acute Adult Onset Comitant Esotropia Associated with Accommodative Spasm Chan R Trobe J 2002 Spasm of accommodation associated with closed head trauma J Neuroophthalmol 22 1 15 7 doi 10 1097 00041327 200203000 00005 PMID 11937900 S2CID 10768702 Chentsova O Shatalov O 2002 Comparative analysis of the efficacy of some methods of conservative treatment of accommodation spasms and myopia in children Vestn Oftalmol 118 6 10 2 PMID 12506647 Retrieved from https en wikipedia org w index php title Pseudomyopia amp oldid 1184119804, wikipedia, wiki, book, books, library,

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