A Study of Proportion of Pseudomyopia in Hypermetropia

Shetty, Niharika; Sushmitha,

doi:10.7860/jcdr/2020/43613.13666

Cited by 2 publications

(6 citation statements)

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“…They also found a positive correlation between the severity of psychiatric disease and the severity of pseudomyopia [24]. Shetty et al suggested that pseudomyopia was more often seen in women, and it is well known that anxiety disorders are more common in women than men [12,24]. In their study, Kara et al strongly advised that psychiatric consultations should be a part of the multidisciplinary evaluation of every case of pseudomyopia [23].…”

Section: Diagnostic and Treatment Procedures Of Pseudomyopia Associated With Anxietymentioning

confidence: 97%

“…visual demands such as studying for a test or using a screen for long periods of time, commonly in teenagers and young adults who have active accommodation [12]. A true spasm of accommodation is considered pathological if excessive in duration and/or severity.…”

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

“…Organic pseudomyopia can result from ciliary spasms due to neural regulation abnormalities as seen in head trauma, encephalitis, intracranial masses, and cerebrovascular diseases. The Edinger Westphal nucleus and the supranuclear controls of the third nerve nucleus, in particular, appear to be impacted [12]. Figure 1 summarizes the causes of pseudomyopia [12].…”

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

“…The Edinger Westphal nucleus and the supranuclear controls of the third nerve nucleus, in particular, appear to be impacted [12]. Figure 1 summarizes the causes of pseudomyopia [12].…”

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

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Pseudomyopia and Its Association With Anxiety

Khalid¹,

Padda²,

Pokhriyal³

et al. 2021

Cureus

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Pseudomyopia is an inappropriately excessive accommodation of the eye due to overstimulation or ciliary spasm, which leads to a marked approximation of the far point. Common symptoms of pseudomyopia include eye strain or fatigue, and it is classified as organic or functional. The latter is due to eye strain and functional increase in the ciliary tonus. Pseudomyopia can vary from being a transient condition or continue to progress to myopia. Head trauma is the most common cause followed by psychiatric illnesses, neurologic diseases, and drug-induced causes. There is an association between psychological stress-inducing events and pseudomyopia as it affects the autonomic nervous system. The human body counteracts anxiety by activating the parasympathetic nervous system, causing ciliary muscle contraction. Underlying psychiatric diseases in pseudomyopia patients have been reported in the past in multiple studies. Generalized anxiety disorder is the most common psychiatric illness associated with pseudomyopia with a positive correlation between anxiety-somatization scores and accommodation amount of the eye. It is strongly advised that a psychiatric consultation should be included in the multidisciplinary evaluation of every case. If patients have coexisting anxiety disorders, a multidisciplinary approach using psychiatric consultations, work environment changes, ocular exercises, and cycloplegic drugs can be used. This review aims to shed light on the association of psychiatric disorders such as anxiety with pseudomyopia.

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Section: Diagnostic and Treatment Procedures Of Pseudomyopia Associated With Anxietymentioning

confidence: 97%

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

“…The Edinger Westphal nucleus and the supranuclear controls of the third nerve nucleus, in particular, appear to be impacted [12]. Figure 1 summarizes the causes of pseudomyopia [12].…”

Section: Review Defining Pseudomyopiamentioning

confidence: 99%

See 2 more Smart Citations

Pseudomyopia and Its Association With Anxiety

Khalid¹,

Padda²,

Pokhriyal³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Neurologic diseases, such as head trauma, encephalitis, intracranial masses, or cerebrovascular processes, may disrupt the mechanisms of neural regulation of the accommodation reflex. 6–8 On the other hand, a relationship between psychiatric diseases has been described in multiple studies. Generalized anxiety disorder is the most common association, and pseudomyopia has a positive correlation with anxiety-somatization scores.…”

mentioning

confidence: 99%

Relentless bilateral accommodation spasm in an adolescent treated with clear lens extraction

Barbosa,

Lemos

2023

JCRS Online Case Rep

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Introduction: Pathologic accommodation spasm occurs when persistent contraction of the ciliary muscle of the eye induces pseudomyopia. The purpose of this report was to describe the case of an adolescent with recurrent ciliary spasm, refractory to medical treatment for several years. Patient and Clinical Findings: A 10-year-old girl was evaluated because of complaints of decreased visual acuity (VA) and frequent headaches. Diagnosis, Intervention and Outcomes: The diagnosis of pseudomyopia due to accommodation spasm was established. No organic causes were detected. She started treatment with cycloplegics, which were successively titrated at different doses, along with the use of spectacles, over the following years. After 7 years of follow-up, the lack of efficacy of treatment and intolerance to its side effects demanded further action, so a clear lens extraction was performed, with the implantation of continuous focus transition multifocal intraocular lenses. Her final uncorrected distance VA was 6/6 in each eye, with good intermediate vision and J1 near vision with +2.00 addition. Conclusions: In severe cases of ciliary spasm, medical therapy and spectacle prescription may not be sufficient to control the disease. Intraocular lens implantation may be the only remaining therapeutic option to provide quality of life to the patient.

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A Study of Proportion of Pseudomyopia in Hypermetropia

Cited by 2 publications

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Pseudomyopia and Its Association With Anxiety

Pseudomyopia and Its Association With Anxiety

Relentless bilateral accommodation spasm in an adolescent treated with clear lens extraction

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