Uveitis Induced Cyclospasm Induced Myopia-A Unique Case

Abstract

A 34 year old Indian male presented to our OPD with complaints of pain and redness, followed by blurring of distant vision in right eye since 1 month. Past ocular history included use of Prednisolone acetate eye drop 1% three times daily, in right eye. The patient had neither similar history in the past nor had a history of trauma. He had never worn glasses earlier, and claimed to have had clear uncorrected vision 1 month prior to the problems. He had no other comorbidities and was not on any other medications. Presenting unaided visual acuity was 20/80 which improved to 20/20 with -1.25 D Sph/-0.50 D Cyl x 100 degrees in the right eye. Versions and ductions were full, as were pupillary response to light. Contrast sensitivity was 1.5 in the right eye and 1.65 in the left eye. The near point of convergence (NPC) and near point of accommodation (NPA) was measured using Royal Air force ruler. The NPC was 10cm and NPA was 14cm. The positive relative accommodation was measured and was found to be -6.75