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Clear lens extraction for the treatment of persistent accommodative spasm after head trauma.

Abstract
We report the case of a 28-year-old man with decreased visual acuity after closed head trauma sustained in a motor vehicle accident 16 weeks earlier. Several structures thought to be associated with the control of accommodation were injured. The patient had a persistent accommodative spasm causing up to 7.0 diopters of pseudomyopia. We present the patient's progress through the clinic, including manifest and cycloplegic refractions and results of a trial with atropine drops, and successful transition to bilateral pseudophakia 2 years and 9 months after the accident.
AuthorsCatherine J McMurray, Celeste D Burley, Mark J Elder
JournalJournal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 30 Issue 12 Pg. 2629-31 (Dec 2004) ISSN: 0886-3350 [Print] United States
PMID15617937 (Publication Type: Case Reports, Journal Article)
Topics
  • Accidents, Traffic
  • Accommodation, Ocular
  • Adult
  • Head Injuries, Closed (complications)
  • Humans
  • Lens, Crystalline (surgery)
  • Male
  • Muscle Spasticity (etiology, surgery)
  • Myopia (etiology, surgery)
  • Oculomotor Muscles (surgery)
  • Phacoemulsification
  • Spasm (etiology, surgery)
  • Vision Disorders (etiology, surgery)
  • Visual Acuity

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