{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:15:57Z","timestamp":1791224157571,"version":"4.1.0"},"reference-count":0,"publisher":"Nepal Journals Online (JOL)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nep J Oph"],"abstract":"<jats:p>Background: Intermittent exotropia (IXT) is an exodeviation intermittently controlled by fusional mechanisms. Patients with IXT may present with asthenopic symptoms, blurred vision, headaches, diplopia or visual confusion and reading difficulties; especially after prolonged periods of near work. Objective: To report the presentation and management of a young adult with intractable accommodative spasm secondary to long standing intermittent exotropia. Case: The patient was found to have bilateral accommodative spasm with high pseudomyopia and severe impairment of vision. There was a tendency for recurrence with discontinuation of cycloplegics.Conclusion: A total relief of symptoms was noticed after strabismus surgery was undertaken for the exotropia. A detailed orthoptic evaluation with emphasis on recognizing accommodative spasm as an unusual presentation of IXT, could aid in appropriate diagnosis and treatment of such cases.DOI:\u00a0http:\/\/dx.doi.org\/10.3126\/nepjoph.v4i2.6552 Nepal J Ophthalmol 2012; 4 (2): 319-322<\/jats:p>","DOI":"10.3126\/nepjoph.v4i2.6552","type":"journal-article","created":{"date-parts":[[2012,7,30]],"date-time":"2012-07-30T05:34:44Z","timestamp":1343626484000},"page":"319-322","source":"Crossref","is-referenced-by-count":9,"title":["Accommodative spasm with bilateral vision loss due to untreated intermittent exotropia in an adult"],"prefix":"10.3126","volume":"4","author":[{"given":"V","family":"Shanker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ganesh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sethi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1670","published-online":{"date-parts":[[2012,7,26]]},"container-title":["Nepalese Journal of Ophthalmology"],"original-title":[],"link":[{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/download\/6552\/5341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/download\/6552\/5341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T12:01:42Z","timestamp":1545998502000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nepjol.info\/index.php\/NEPJOPH\/article\/view\/6552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,26]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2012,7,30]]}},"URL":"https:\/\/doi.org\/10.3126\/nepjoph.v4i2.6552","relation":{},"ISSN":["2091-0320","2072-6805"],"issn-type":[{"value":"2091-0320","type":"electronic"},{"value":"2072-6805","type":"print"}],"subject":[],"published":{"date-parts":[[2012,7,26]]}}}