Accommodative Spasm

SF is a 15-year-old girl with intractable seizures who had been treated with various antiseizure medications, including a new experimental drug. She had not worn lens correction in the past but presented with complaints of a recent dramatic decrease in vision in both eyes. Examination found uncorrected vision OU of 20/400 and a refraction of −8.00 diopters OD and −7.50 diopters OS. Keratometry measured 44.00 by 43.50 in her right eye and 44.50 by 44.00 in her left. A-scan biometry was performed and the axial length of the right eye measured 23.49 mm and the left measured 23.25 mm (Fig. 161).


Axial Length Anterior Segment Direct Light Intractable Seizure Specialty Referral 
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© Springer Science+Business Media, LLC 2008

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