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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
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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
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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