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Papers of the Week

2023 Jan 29


Using evidence-based psychological approaches to accommodation anomalies.


Horwood AM, Waite P
Strabismus. 2023 Jan 29:1-10.
PMID: 36710250.


Accommodation anomalies are frequently caused or exacerbated by psychological problems such as anxiety. Patients share many features with those with other anxiety based somatic symptoms such as stomach-ache, palpitations and headaches. They can be difficult to treat, and the ophthalmic literature rarely goes beyond diagnosis and ocular treatment. This study reports characteristics and outcomes of a short case series of patients with accommodation spasms and weaknesses assessed objectively, and outlines a psychological approach to treatment.