A Benign Syndrome of Transient Loss of Accommodation in Young Patients

Almog, Yehoshua

doi:10.1001/archopht.126.12.1643

Cited by 17 publications

(14 citation statements)

References 24 publications

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“…Head trauma, Parkinson disease, multiple sclerosis, encephalopathies, meningitis, midbrain pathology, subdural haematoma, pharmacological and toxic agents, viral infections, diabetes, botulism, diphtheria, and oculomotor nerve palsy are among causes of accommodation insufficiency. 4,5 Exposure to systemic anticholinergic agents can also cause acute accommodative loss. 6 According to their sedative side effects, histamine H1 receptor antagonists are classified as firstgeneration and newer-generation antihistamines.…”

Section: Discussionmentioning

confidence: 99%

Accommodation Paralysis after Pheniramine Maleate Injection: A Case Report

Kızıltunç¹,

Atilla²,

Yalçındağ³

2013

Neuro-Ophthalmology

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We present a case in which Gilbert syndrome was diagnosed following a neuro-ophthalmic complaint. Adverse effects of drugs as well as various systemic, neurological, and local ocular pathologies can cause accommodative insufficiency and loss of accommodation. A 29-year-old man was admitted to an ophthalmology department with blurred vision and diagnosed as suffering from acute accommodation paralysis. He had a history of being given a pheniramine maleate injection for pruritus 20 days previously. Symptoms began immediately following the injection. After systemic evaluation and laboratory tests, he was diagnosed as having Gilbert syndrome. His complaints and symptoms recovered in approximately a further 10 days. Metabolism of pheniramine maleate can be impaired in Gilbert syndrome and anticholinergic effects can cause accommodation paralysis.

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Section: Discussionmentioning

confidence: 99%

Accommodation Paralysis after Pheniramine Maleate Injection: A Case Report

Kızıltunç¹,

Atilla²,

Yalçındağ³

2013

Neuro-Ophthalmology

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“…1 Many drugs, such as tricyclic antidepressants and phenothiazines, also cause acute accommodation paresis. 2 However, to our knowledge, lorazepam-induced accommodation paresis has never been reported.…”

Section: Sir a Case Of Lorazepam (Ativan)-induced Accommodation Paresismentioning

confidence: 99%

A case of lorazepam (Ativan)-induced accommodation paresis

2011

Eye

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“…Some recognized causes that may affect accommodation include head trauma, encephalitis, meningitis, midbrain disease, oculomotor nerve palsy, tonic pupil, pharmacological and toxic agents, ocular and orbital trauma, uveitis, cataract, lens subluxation, laser or cold applications to the retina or sclera, viral diseases, diabetes, botulism, diphtheria, and functional causes. 2 We report a case of transient loss of accommodation after laser photocoagulation for peripheral retinal tear. …”

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confidence: 95%