Eye Health

Question
Posted by: Alice Lena | 2018/05/22

Q.

How to cure spasm of accommodation after 3 years of trying?

For the past 3 years I haven't been able to study because I have been diagnosed with spasm of accommodation with the following symptoms: - After focusing for a few minutes, vision becomes vertically double (eg. while reading, watching movie, intense eye contact during conversations) - Tired, dry, stingy eyes - Headache starting from the eyes and forehead towards the whole head - Sometimes nausea if I force it longer - Also recently, slightly more sensitive to (artificial) light than usual The eye clinics, neurologist and psychologists cannot find any problems in their tests. My eyes work fine except when I have to focus. I do need glasses of +0.5 for reading, but it doesn't relieve the spasms. It started during a stressful period of deadlines during which I had to work on the computer for a long time without breaks. I tried several treatments, such as: - dilation drops (atropin, irifrin, cyclopentolate) - eye exercises - exercising (yoga, swimming, fitness, dance) - neck/shoulder/back massages (10 sessions twice a year) - vitamins (multi, omega 3, luteine) - long breaks for my eyes - warm eye masks. Those are only effective for immediate relief, but not for long term. The fatigue always comes back after focusing again. That's why nowadays I am learning to live with it by using alternative methods for studying (eg. braille, screenreader software). However I hope I can heal my eyes soon. My questions are: 1. Are there any other treatments I could try? 2. Which treatments that I have tried so far could have effect in longer term? 3. Is spasm of accommodation a correct diagnosis? 4. Are there any other fields of medicine I could look into, since it does not seem to be a optical/neurological/psychological problem? 5. Why are these symptoms still here after all these years? Is this a rare case? Will it ever go away? Can it get worse? Do I just need more patience? Thank you so much in advance for your advice.

Expert's Reply

A.

Optometrist
- 2018/05/23

Hi there


I cannot give you a direct answer as I am unable to examine you. If you have still not found a solution, I would advise seeking another opinion. 

Best wishes!

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