ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume : 7 Issue : 3 Year : 2022
Beyoglu Eye Journal A Combined Intervention of Single Vision Plus Lens and Tropicamide in the Treatment of Pseudomyopia: A Perspective Case Report from Nepal [Beyoglu Eye J]
Beyoglu Eye J. 2022; 7(3): 247-251 | DOI: 10.14744/bej.2022.44127

A Combined Intervention of Single Vision Plus Lens and Tropicamide in the Treatment of Pseudomyopia: A Perspective Case Report from Nepal

Bipin Koirala1, Aayush Chandan1, Raju Kaiti2, Manoj Mahat1, Sanjeeta Sitaula1
1Department of Ophthalmology, Institute of Medicine, Kathmandu, Nepal
2Department of Optometry, Nepal Eye Hospital, Kathmandu, Nepal

This study highlights the role of cycloplegic refraction in the detection of accommodative spasm and the use of tropi-camide 1% as cycloplegic and single vision plus lens for its management. This was a case study carried at tertiary eye hos-pital in Kathmandu, Nepal. In this study, 2 subjects presenting with complain of sudden onset of diminution of vision for near and distance along with asthenopic symptoms having history of prolonged near work were recruited. Pre-cycloplegic refraction showed fluctuating myopic refractive error which after cycloplegia showed a significant hyperopic shift. Single vision plus lens (base on post-mydriatic treatment) giving optimal vision for near and distance along with tropicamide 1% twice a day basis and abstinence of triggering factor was started as initial treatment modality. Subjects were kept under close surveillance and followed up fortnightly over 2 months. During this period, the dosages of tropicamide were gradu-ally tapered based on symptomatic relief of patient and no recurrence of the condition was observed in both subjects for next 2 month.

Keywords: Accommodative spasm, Nepal, pseudomyopia, single vision lens, tropicamide.

Bipin Koirala, Aayush Chandan, Raju Kaiti, Manoj Mahat, Sanjeeta Sitaula. A Combined Intervention of Single Vision Plus Lens and Tropicamide in the Treatment of Pseudomyopia: A Perspective Case Report from Nepal. Beyoglu Eye J. 2022; 7(3): 247-251

Corresponding Author: Raju Kaiti, Nepal
Manuscript Language: English
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