accomodative spasm and ADS

[doctor_m_26_jpr]

Sir/madam
I am doing residensy in pediatric medicine, i am 34 year old,
At the age of 6-7  year (1983)  , my parents noticed  squint, i was diagnosed as divegent squint that time and surgery done in right eye, both eyes came strait,and there was no problem for 10  year (1993), then i start developing pain duing reading and vertigo like symtoms,
   i was told that squint came back and conversion exercise were advised, my pain increased in 2-3 years
then I was told that accomodative spasms developed . i as priscribed Atropine, . with atroping i got marked relief.
but that get tigtness in eyes when  the effect of atropine goes,
    I underwent left eye surgery in sep 2008, after that surgery my symtoms cured 50 %

Now i having there problems :-
(1) I developed  severe photophobia  ( in last 5  year, not using atropine since last 5 years ) have to use dark glass even at home, More problem with sun light then tube or bulb light .
(2) Problem during reading, Even i occude one eye during reading
(3) Pain after driving , even for 10 mins , more problem in sunlight

please give your  advise
thanks
Dr ashok Khandelwal
jaipur
India


This discussion is related to Accommodative spasm.

[JohnHaganMD]

Most of the information in the above paragraph is incorrect and anyone with accommodative spasm that wants to learn more should read section at emedicine, use the search feature to read some of the other conversations or at least read Wikipedia.com section

JCH MD

[Maria111110]

I also had a strabismus and lazy eye when i was younger. I had 3 surgeries and now i have a double vision.
In January 2013, I got very strong case of accommodative spasm. I was freaking out. I have never experienced that before, and I thought I was losing my vision. I saw a couple of doctors who couldn't tell what was wrong with me. I was so scared, and my accommodative spasm was getting worse and worse. I lost my appetite, my quality of life dramatically decreased, and I could hardly even walk. I decided to call my opthamologist in Russia as I had recently moved to the U.S. Based on my symptoms, she quickly concluded and told me that I have an accommodative spasm. She said that stress from transitioning to a different country could have caused it. She also said that I should calm down, sleep in, and it will go away eventually. Accommodative spasm is very common condition in Russia. They treat it with drops called Neosynephrine 2.5%.
But my anxiety was so bad that I couldn't stop the nervousness. After 4 month of my suffering, I decided to see a psychologist who prescribed me clonazepam (anxiety medication). Literally in few days my accommodative spasm started to go away, and I was able to come back to my normal activities. I would recommend not taking this medication for a long time even if they tell you so. One month is enough! I also recommend to see a neuro-opthalmologist. This is a doctor that treats accommodative spasm. Another thing that helped me was a new eyeglasses. A few month later, I was able to go to Russia and visit my doctor who adjusted my glasses prescription for a stronger one. Basically, you can only correct accommodative spasm with stronger eyeglasses especially for reading and wait. Stay calm is a key! Usually accommodative spasm goes away within few weeks but when we are nervous it can take much longer. It will go away eventually. It can take from 2 days to 2 years.

[John C Hagan III, MD, FACS, FAAO]

I would find the best strabismus specialist in your medical school and see him/her and also see a neuroophthalmologist to evaluate your problem.

Or you could go outside your school to another famous medical school.

JCH MD