Espasmo acomodativo en la infancia

Objective: To define the clinical features of infantile accommodative spasm in our area and to describe these patients response to treatment. Methods: We present a series of 10 cases followed and treated from 2015 to 2017 in out-patients clinic. We have collected epidemiological characteristics, data exploration and treatment carried out, as well as the response to treatment. Results: In our series, the average age has been around 10 years and 5 months and shows a clear female predominance (80%). The main reason for consultation was a reduction in distance and near vision (80%) and headache associated with blurred or double vision (20%). None of our patients showed abnormal convergence or impaired pupil reaction. Treatment consisted in cycloplegia for 6 patients, glasses were used in 4 of them. Three patients were referred to visual therapy to work the accommodation and vergences. The last patient went under psychotherapy at parents request. All accommodative spasm resolved, so symptoms disappeared. Conclusions: Although this is a short case series, both vision therapy and cycloplegic drops managed to successfully solve the accommodative spasm in our patients.