Accommodative Spasm in the Contralateral Eye after Laser-Assisted in Situ Keratomielusis (Lasik): case report

Abstract

Accommodative spasm is a multifactorial entity in which there is a hyperfunction of the ciliary muscle that induces myopia. It can develop after refractive surgery, generating reduced expectations and bothersome visual symptoms for the patient. In this article we report a case of accommodation spasm in the non-operated eye following Lasik, with refraction without cycloplegia OD + 0.25 OI -3.00 Sph and with cycloplegia OD -0.25 OI +0.25 Sph. The visual and refractive response was adequate to the treatment of relaxation and accommodation flexibility with positive lens and flippers. Therefore, the aim of this paper was to review postsurgical vision therapy and the etiology underlying this unusual condition.
PDF (Spanish)

References

Rutstein RP. Accommodative spasm in siblings: A unique finding. Indian J Ophthalmol. 2010;58: 326-327. Disponible en: https://doi.org/ 10.4103/0301-4738.64123

Goldstein JH, Schneekloth BB. Spasm of the near reflex: A spectrum of anomalies. Survey of Ophthalmology. 1996;40(4): 269-278. Disponible en: https://doi.org/10.1016/s0039-6257(96)82002-9

Hyndman J. Spasm of the Near Reflex: Literature Review and Proposed Management Strategy. Jour Binoc Vis Ocul Moti. 2018;68(3): 78-86. Disponible en: https://doi.org/10.1080/2576117X.2018.1486680

Airiani S, Braunstein RE. Accommodative Spasm After Laser-Assisted In Situ Keratomileusis (LASIK). Ame Jour Ophthal. 2006;141(6): 1163-1164. Disponible en: https://doi.org/10.1016/j.ajo.2006.01.069

Prakash G, Sharma N, Sharma P, Choudhary V, Titiyal JS. Accommodative spasm after laser-assisted in situ keratomileusis (LASIK). Amer Jour Ophthal. 2007;143(3): 540. Disponible en: https://doi.org/10.1016/j.ajo.2006.11.048

Rutstein RP, Daum KM, Amos JF. Accommodative spasm: A study of 17 cases. Jour Amer Optom Assoc. 1988;59: 527–538.

Cacho-Martínez P, García-Mu Á, Ruiz-Cantero MT. Is there any evidence for the validity of diagnostic criteria used for accommodative and nonstrabismic binocular dysfunctions ? J Optom. 2014;7: 2–21. Disponible en: https://doi.org/10.1016/j.optom.2013.01.004

Bamashmus MA, Hubaish K, Alawad M, Alakhlee H. Functional outcome and patient satisfaction after laser in situ keratomileusis for correction of myopia and myopic astigmatism. Mid East Afric Jour Ophthalmol. 2015;22(1): 108-114. Disponible en: https://doi.org/10.4103/0974-9233.148359

Bailey, M. D, Zadnik, K. Outcomes of LASIK for Myopia With FDA-Approved Lasers. Cornea. 2007; 26(3), 246–254. Disponible en: https://doi.org/10.1097/ICO.0b013e318033dbf0

Cámara-Castillo HG, Díaz-Rubio JL, Jiménez-Rosas F. Tratamiento del espasmo de la acomodación con lentes esféricas positivas. Rev Mex Oftalmol. Septiembre-2006;80(5): 282-284.

Chan RVP, Trobe JD. Spasm of accommodation associated with closed head trauma. J Neuro-Ophthalmolo. 2002;22: 15-17. Disponible en: https://doi.org/10.1097/00041327-200203000-00005

Monteiro MLR, Curi A, Pereira A, Chamon W, Leite CC. Persistent accomodative spasm after severe head trauma. Br J Ophthalmol;2003: 87 2: 243-244. Disponible en: https://doi.org/10.1136/bjo.87.2.243

Peinado GA, Merino Sanz P, del Cerro Pérez I, Gómez de Liaño Sánchez P. Espasmo de acomodación unilateral: descripción de un caso y revisión de la literatura. Arch Soc Oftalmología: 2019; 96 86: 285-287. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/ibc-185048

Shukla Y. Accommodative anomalies in children. Indian J Ophthalmol. 2020;68(8): 1520-1525. Disponible en: https://doi.org/10.4103/ijo.IJO_1973_18

Cerviño A, García Reusa C. Valoración refractiva del candidato a cirugía refractiva. Gaceta Óptica:2007;416: 10-14. Disponible en: https://www.uv.es/acerex/pdfs/Cervino.Gaceta07.pdf

Praskash G, Choudhary V, Sharma N, Titiyal JS. Change in the accommodative convergence per unit of accommodation ratio after bilateral laser in situ keratomileusis for myopia in orthotropic patients. Prospective evaluation. J Cataract Refract Surg. 2007;33: 2054-2056.

Keywords

Accommodative spasm
Lasik
refractive surgery
myopia
accommodation
cycloplegia.