Unilateral accommodative spasm arising upon stress

Abstract

We present a young male patient with a 2-day history of vision loss and left eye pain. Refraction showed right eye was emmetropic, while the left eye had a refractive diopter measurement of -4.50. After the administration of mydriatic drops, an emmetropic measurement was performed in both eyes, and the patient’s pain decreased. Being a military student and undergoing annual eye examinations suggested that the change in refraction was indicative of an acute problem. Repeat measurements and dynamic pupil analysis were conducted along with A-mode ultrasound. Mydriatic drops and eyeglasses were prescribed. Psychiatric consultation was recommended due to the patient's statements regarding anxiety. His symptoms regressed, and his vision improved excellently.

Keywords

• accommodation spasm
• pseudomyopia
• stress
• unilateral