Conference paper

Publication year: 2004

Pages: 1017-1019

Journal: Ophthalmologe

Volume number: 101

Issue number: 10

ISSN: 0941-293X

DOI Link: https://doi.org/10.1007/s00347-003-0947-2

Conference: 100th Annual Meeting of the German-Ophthalmological-Society

Publisher: Springer

Abstract: 
We report on an 8-year-old boy whose near reflex could be elicited exclusively when the left eye was fixing (LF) but not when the right eye was fixing (RF). With RE +1.25/-1.25/169degrees and LE +1.0/-0.75/24degrees, the visual acuity was 1.0 OU at 5 m and RE 0.5, LE 1.0 at 0.3 m improving to 1.0 OU by a near addition of 3.0 D. Stereopsis was 100" (Titmus test). The prism and cover test revealed an esophoria of 4 at 5 m. At 3 m there was an esophoria of 6 (RF) and an esotropia of 28 (LF), compensating to an esophoria of 3 (RF/LF) with a near addition of 3.0 D. Accommodation and the pupillary near reaction (OU) were hardly elicitable during RF. During LF, retinoscopy revealed an accommodation of 8 D (OU) and the pupils constricted normally. Correction by bifocal glasses yielded orthotropia with random dot stereopsis at near.

Harvard Citation style: Gräf, M., Becker, R. and Kloss, S. (2004) Dissociated near reflex and accommodative convergence excess, Ophthalmologe, 101(10), pp. 1017-1019. https://doi.org/10.1007/s00347-003-0947-2

APA Citation style: Gräf, M., Becker, R., & Kloss, S. (2004). Dissociated near reflex and accommodative convergence excess. Ophthalmologe. 101(10), 1017-1019. https://doi.org/10.1007/s00347-003-0947-2