ABSTRACT

Pseudomyopia is characterized by an increased tone of the ciliary muscle and a constant accommodative effort, leading to a marked approximation of the far point. It is an apparent myopia that is acute in onset and disappears when the eye is atropinized. It is also referred to as spasm of accommodation. We report a case of an 8 year old boy, who presented with difficulty in vision for past 3 months. It was acute in onset and was initially associated with pain and headache. He had history of increased mobile usage for past 4 weeks prior to onset of symptoms. He was shown to an ophthalmologist and evaluated, diagnosed as pseudomyopia and started on cycloplegics. It had a transient improvement, but symptoms persisted. VEP was showing increased latency in both eyes. At admission he had a vision of finger counting at 2 metres in both eyes. CNS and fundus examination was normal. Repeat VEP was taken which showed increased latency bilaterally, MRI Brain was essentially normal. Diagnosis of pseudomyopia was confirmed after extensive ophthalmology evaluation. He was discharged on topical cycloplegics, symptoms improved and he is now on regular follow up.
Publication date: 01/12/2021

https://ijbpas.com/pdf/2021/December/MS_IJBPAS_2021_5786.pdf

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https://doi.org/10.31032/IJBPAS/2021/10.12.5786