[Dissociated near reflex and accommodative convergence excess].

M Gräf; R Becker; S Kloss

doi:10.1007/s00347-003-0948-2

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[Dissociated near reflex and accommodative convergence excess].

M Gräf·R Becker·S Kloss

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Abstract

We report on an 8-year-old boy whose near reflex could be elicited exclusively when the left eye was fixing (LF) but not when the right eye was fixing (RF). With RE +1.25/-1.25/169 degrees and LE +1.0/-0.75/24 degrees, the visual acuity was 1.0 OU at 5 m and RE 0.5, LE 1.0 at 0.3 m improving to 1.0 OU by a near addition of 3.0 D. Stereopsis was 100 degrees (Titmus test). The prism and cover test revealed an esophoria of 4 degrees at 5 m. At 3 m there was an esophoria of 6 degrees (RF) and an esotropia of 28 degrees (LF), compensating to an esophoria of 3 degrees (RF/LF) with a near addition of 3.0 D. Accommodation and the pupillary near reaction (OU) were hardly elicitable during RF. During LF, retinoscopy revealed an accommodation of 8 D (OU) and the pupils constricted normally. Correction by bifocal glasses yielded orthotropia with random dot stereopsis at near.

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Accommodation, Ocular Child Convergence, Ocular Esotropia Eyeglasses Fixation, Ocular Humans Male Myopia Ophthalmoscopy Reflex Refraction, Ocular Vision Tests Visual Acuity Case Reports English Abstract Journal Article

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M Gräf, R Becker, S Kloss. 2004. [Dissociated near reflex and accommodative convergence excess].. https://doi.org/10.1007/s00347-003-0948-2

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