근접반사 연축을 보이는 환자에 대한 연구

• 영문명: A Study of Patients with Spasm of the Near Reflex
• 발행기관: 대한안과학회
• 저자명: 양유리 고재웅 최남영 박수철,Yoo Ri Yang, M.D., Jae Woong Koh, M.D., Nam Young Choi, M.D., Soo Chul Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number10, 1630~1637쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.10.31

영문 초록

Purpose: To determine changes in the degree of pseudomyopia and convergence in patients with spasm of the near reflex. Methods: In 5 patients with spasm of the near reflex, we checked following: UCVA/BCVA, the degree of pseudomyopia revealed through manifest and cycloplegic refraction tests, pupil size, limitation of EOM, the amount of convergence defined by the alternate prism cover test, and slit lamp and funduscopic exams. Results: Of the 5 patients with spasm of near reflex, 3 had accommodative spasm alone and 2 had accommodative spasm, convergence spasm and miosis. The patients` degrees of pseudomyopia and convergence were -8.0D and 14PD on the average. which disappeared after an average of 10.8 months but recurred in 1 of the 3 patients with accommodative spasm. As for spasm of the near reflex, 1 patient showed improvement in convergence but worsening pseudomyopia during the follow-up period, and another patient showed recurrence. Conclusions: The most common clinical feature of spasm of the near reflex is accommodative spasm. Patients with accommodative spasm alone showed better prognosis among all patients with spasm of the near reflex in terms of recurrence and the disease course.

키워드

Accommodative spasm, Convergence spasm, Pseudomyopia, Spasm of the near reflex