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Functional Spasm of accommodation: Scheimpflug imaging

Poster Details

First Author: J.Sukhija INDIA

Co Author(s):    M. Dogra   J. Ram           

Abstract Details


To demonstrate the findings of a case of accommodative spasm and its corelation on pentacam


Tertiary eye care centre


Ophthalmic examination and investigations including manifest and cycloplegic refraction, pentacam examination for evaluating changes in anterior chamber depth (ACD) and lenticular thickness


A 16 year girl complained of sudden onset blurring of vision in both eyes following reading under dim light. She was a known myope with 2 diopter sphere OU. There was sudden increase of myopia to 4 dioptres sphere in one day. At presentation, on the third day since her symptoms, her best- corrected visual acuity (BCVA ) was 6/6 OU with manifest refraction of – 7 diopter sphere and – 7.5 / - 0.5 x 70 in the right and left eye, respectively. Clinical examination revealed miosis and shallow anterior chamber. Pentacam imaging depicted shallow anterior chamber with increased lens thickness. Cycloplegic refraction was – 1.5 sphere in the right and -1.75 sphere in the left eye, and she was corrected to 6/6 OU. Scheimpflug imaging objectively demonstrated the increase in anterior chamber depth, decrease in lens thickness and and movement of the anterior as well as posterior lenticular surface.


Spasm of accommodation should be suspected in a patient with acute increase of myopia. Pentacam imaging is a non invasive technique to depict the morphological changes in such a case FINANCIAL DISCLOSURE?: No

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