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.
Magalini SI, Scrascia E. Dictionary
of Medical Syndromes, 2nd ed.
Wright KW. Exotropia.
In: Wright KW, ed. Pediatric Ophthalmology and Strabismus.
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