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Blurred vision
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Blurred vision

My 11 year old daughter has been suffering from blurred vision for 18months.  Initially, it started off as double vision and within a week became blurred. Her vision has further deteriorated in this time, with the eyes becoming cross-eyed, and where she was initially able to read, she can no longer see text unless the letter is the size of an A4 sheet of paper. She has been diagnosed as suffering from accommodative spasm, and has had the an MRI (nothing was found), administration of atropine eye drops (to relax the cilliary muscles but with no improvement to her vision), electrodiagnostic tests (all normal), a course with an educational psychologist to relieve any stress (she was discharged as she was deemed fine), corrective prescription spectacles (which have not helped), cranial osteopathy (to relieve any stress/tension).  She has been seen by 4 separate ophthalmologists and an orthoptist at Moorfields and Gt Ormond St hospitals (London), and no-one can find anything organically wrong with her. They are now going to try applying botulinum toxin injections in the eyes to relax them, although they are not too confident this will help relieve her blurred vision, as they feel the accommodation and loss of vision are 2 separate things which are occurring. The eyes did stop cross-eying for a few months but then started up again. We are at a loss as to how she will get better, and are trying everything at our disposal.  Any advice would be greatly appreciated as both my daughter and I are really really worried.
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233488_tn?1310696703
Use the search feature and archives there are extensive discussions of treatment of accommodative spasm.
JCH MD
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233488_tn?1310696703
Use the search feature and archives there are extensive discussions of treatment of accommodative spasm.
JCH MD
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Avatar_m_tn
Thanks for the feedback.

The point is that all treatment regimes to date have failed, and we are at a loss as to what to do next. The botox injections are a last line of treatment (according to the consultant), if this fails, it appears there is nothing else that can be done (this is what we have been told).
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233488_tn?1310696703
The discussions almost all concern non-responsive AS.  

JCH MD
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