Spasm of Near Reflex in a Patient with Autism Spectrum Disorder: A Case Report

被引：0

作者：

Ueki, Satoshi ^{[1
]}

Hasegawa, Yukari ^{[1
]}

Hatase, Tetsuhisa ^{[1
,2
]}

Hanyu, Takako ^{[1
,3
]}

Egawa, Jun ^{[4
]}

Miki, Atsushi ^{[5
]}

Fukuchi, Takeo ^{[1
]}

机构：

[1] Niigata Univ, Grad Sch Med & Dent Sci, Div Ophthalmol & Visual Sci, Asahimachi dori 1-757 Chuo Ku, Niigata 9518510, Japan

[2] Imai Eye Clin, Honcho 3-2-1, Niigata 9570054, Japan

[3] Hanyu Clin, Igarashi-higashi 1-1-15, Nishi-ku, Niigata 9502045, Japan

[4] Niigata Univ, Grad Sch Med & Dent Sci, Dept Psychiat, Asahimachi-dori 1-757, Chuo-ku, Niigata 9518510, Japan

[5] Kawasaki Med Sch, Dept Ophthalmol, Matsushima 757, Okayama 7010192, Japan

来源：

REPORTS | 2023年 / 6卷 / 03期

关键词：

spasm of near reflex; autism spectrum disorder; microfluctuations in accommodation;

D O I：

10.3390/reports6030038

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spasm of near reflex (SNR) involves intermittent spasm of one or more of the three near reflex components. Psychiatric disorders are one cause of SNR. We describe a patient with SNR diagnosed with autism spectrum disorder (ASD). A 36-year-old male with esotropia since childhood was referred due to headache and dizziness. The alternate prism cover test showed 30 prism diopters at both near and distant fixation. Four months after his first visit, he was diagnosed with ASD. Twenty-nine months after his first visit, he underwent strabismus surgery to treat concomitant esotropia. Postoperatively, the angle of strabismus improved but remained variable. Because the angle of strabismus varied, we suspected SNR; the diagnosis was performed after evaluating the patient's microfluctuations in accommodation with Speedy-K. However, it was difficult to distinguish convergence spasm from concomitant esotropia in this patient because he has had a history of esotropia since childhood. In a patient with concomitant esotropia, if the symptoms are not exclusively due to strabismus, SNR should be suspected. Although the relationship between SNR and the pathology of ASD is unknown, it is possible that patients with ASD are more likely to develop SNR.

引用

页数：6

共 15 条

[1] Accommodative Function in Individuals with Autism Spectrum Disorder [J].