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Accommodative insufficiency (accommodative effort syndrom)


Accommodative Insufficiency (Accommodative Effort Syndrome)

General: Male or female; 10 to 35 years of age.

Ocular: Asthenopia with near 444c29e vision appearing within a few minutes after reading, sewing, or observing a near object; increased amplitude of accommodative adduction; abnormal relaxation of accommodation induced by relative divergence at close distances; latent convergence insufficiency; may result secondary to ciliary dysfunction associated with Adie pupil.

Clinical: It may be secondary to a systemic disorder such as Parkinson disease or oral lithium.

Brown B. The convergence insufficiency syndrome masquerade. Am Orthoptic J

Fraunfelder FT, Roy FH. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.

Magalini SI, Scrascia E. Dictionary of Medical Syndromes, 2nd ed. Philadelphia: JB Lippincott, 1981.

Wright KW. Exotropia. In: Wright KW, ed. Pediatric Ophthalmology and Strabismus. St. Louis: Mosby, 1995:200.





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