DJO | Digital Journal of Ophthalmology

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A 23-year-old woman with near vision difficulty Digital Journal of Ophthalmology 2007 Volume 13, Number 5 January 9, 2007	Printer Friendly

H. Ozden Sener \| Departments of Neurology and Ophthalmology, Ankara University School of Medicine Mine H. Sorgun \| Department of Neurology, Ankara University School of Medicine Huban Atilla \| Department of Ophthalmology, Ankara University School of Medicine Canan Yucesan \| Department of Neurology, Ankara University School of Medicine
HISTORY EXAMINATION ANCILLARY TESTING TREATMENT DIAGNOSIS AND DISCUSSION REFERENCES
Examination
Her physical examination was normal. The neurological examination was normal with the exception of the eye findings. Ophthalmological examination revealed a slight ptosis of 1-2 mm on the left with normal levator muscle function. Her visual acuity was 20/30 OU (20/20 with +0.75 D correction) bilaterally. Retinoscopy with and without cycloplegia showed a refractive error of +0.75 D and dynamic retinoscopy revealed that she had no accommodation on either side. Slit lamp biomicroscopy, funduscopic and motility examinations were normal. Pupil diameters were six millimeters on both sides and pupillary reactions were sluggish for both light and near. After 1% pilocarpine eyedrop, both eyes constricted. Two days later, 0.1% pilocarpine eyedrops were applied. Her pupils became smaller and her reading improved.
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