A benign syndrome of transient loss of accommodation in young patients

Arch Ophthalmol. 2008 Dec;126(12):1643-6. doi: 10.1001/archopht.126.12.1643.


Objective: To describe a benign condition of transient, isolated accommodation paralysis in young patients as a specific entity.

Design: Case series of children and young adults with transient loss of accommodation who were referred to the neuro-ophthalmology clinic at the Meir Medical Center from 1997 to 2006. Five young patients who complained of an inability to read had full neuro-ophthalmological examinations. Those who were found to have isolated accommodation paralysis without any other related ocular or systemic findings were prescribed reading glasses and followed up.

Results: All 5 patients had isolated loss of accommodation. No one had other ocular, neurological, or systemic abnormalities that could be associated with accommodation paralysis; they all did well with near correction. Accommodation returned to normal within 3 to 14 months in all 5 patients.

Conclusion: An isolated transient loss of accommodation unrelated to any other ocular or systemic manifestations may occur in children and young adults and may be considered a specific idiopathic entity.

Publication types

  • Case Reports

MeSH terms

  • Accommodation, Ocular*
  • Adolescent
  • Adult
  • Child
  • Eye Movements
  • Eyeglasses
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Syndrome
  • Vision Disorders / etiology*
  • Vision Disorders / therapy
  • Vision, Binocular
  • Young Adult