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June 11, 2026Journal of Binocular Vision and Ocular Motility

Beyond the Classic Near Triad: Diagnostic Insights from a Case of Accommodative Spasm

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Authors

RGRaghul GurunathanPPPraveen Kumar PABAmit Bhowmick

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Overview

Case report reveals diagnostic potential of ocular biometry in accommodative spasm, indicating treatment monitoring implications.

Key Points

  • This case report aims to explore the diagnostic insights gained from ocular biometry in a patient with accommodative spasm.
  • Case presentation of a 14-year-old female with bilateral accommodative spasm.
  • Utilization of open-field autorefractor for objective refraction and dynamic retinoscopy for assessment.
  • Treatment with 1% atropine sulfate eye ointment administered twice daily for three days.
  • Initial visual acuity was 20/20 right eye and 20/400 left eye; post-treatment showed resolution of spasm.
  • Repeat retinoscopy confirmed absence of accommodative instability after 21-day washout.
  • Post-mydriatic ocular biometry indicated improvements in lens thickness and anterior chamber depth without change in axial length.

Cite This Study

Gurunathan et al. (2026) studied this question.

synapsesocial.com/papers/6a2a517c80c8f91e7f39dbd3https://doi.org/10.1080/2576117x.2026.2680774
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Results of the School Children Ocular Biometry and Refractive Error Study in South India2022 · 9 citations
  2. 2Bimatoprost (0.03%)-induced accommodative spasm and pseudomyopia2015 · 16 citations
  3. 3Linear relationship of refractive and biometric lenticular changes during accommodation in emmetropic and myopic eyes2006 · 83 citations
  4. 4Mechanism of accommodation: A review of theoretical propositions2015 · 14 citations
  5. 5Acute Adult Onset Comitant Esotropia Associated with Accommodative Spasm2014 · 48 citations