Korean J Ophthalmol.  2011 Feb;25(1):66-68. 10.3341/kjo.2011.25.1.66.

Early Resolution of Convergence Spasms Following the Addition of Antipsychotic Medications

• Hyun HJ
• Chung US
• Chun BY

• KMID: 994417
• DOI: http://doi.org/10.3341/kjo.2011.25.1.66

Abstract

We report a case of early resolution of convergence spasms following the addition of antipsychotic medications and present it as a possible alternative to the conventional treatment for convergence spasms. The cessation of atropinization of the eyes and the use of reading glasses was achieved after only 2 months following the initiation of antipsychotic medications for childhood emotional disorder.

Keyword

Antidepressants; Anxiolytics; Atropinization; Childhood emotional disorder; Convergence spasm

MeSH Terms

Affective Symptoms/*drug therapy
Anti-Anxiety Agents/therapeutic use
Antipsychotic Agents/*therapeutic use
Child
Diazepam/therapeutic use
E
Female
Fixation, Ocular
Humans
Serotonin Uptake Inhibitors/therapeutic use
Sertraline/therapeutic use
Treatment Outcome
Visual Acuity

Figure

• 

  Fig. 1 The patient was orthophoric at distance.

• 

  Fig. 2 The patient demonstrated esotropia of 15 to 20 prism diopters at near fixation. At this time, her pupils were constricted and autorefraction performed immediately after near fixation revealed -10.0 diopters of pseudomyopia.

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  Fig. 3 The patient's esodeviation at near fixation resolved only one month after initiation of the antipsychotic medications. The patient's visual acuity was 20/20 without glasses and her refraction was nearly emmetropic (+0.5 diopters).

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