I hope you can help me regarding this fairly rare matter.
I have been diagnosed with an accommodative spasm at both eyes. I am 28 years old.Refraction
with cyclopegia (Atropine) : + 0,50 (slight hyperopia)
Refraction WITHOUT cyclopegia : - 4,50 (pseudomyopia)
This constant spasm appeared right after a lasik
surgery, 6 month ago.
However, before the surgery, there was no difference found between cyclopegic and non-cyclopegic refraction. I was hyperopic, +3,50 for the right eye and +2,00 for the left one
This situation causes me constant headaches and very blurry vision
for targets near AND far.
I have to strain a lot to get images into focus which is exhausting. Of course I cannot hold accommodation all the time with such a big spasm, at rest everything is blurry.
To relieve the symptoms I had atropine for 3 months (1 drop per day in each eye), thanks to these drops my vision was perfect for targets far. During this time I used +3.00 readers for close vision.
My problem is : After 3 months i stopped the drops and when atropine wore off (2 weeks later which is quite long), accommodative spams came back.
My surgeon doesn't know what to do anymore. I have been to other ophtalmologists and unfortunately, they have no further idea.
I live in France and unfortunately, there are no neuro-ophtalmologists like in the US (I read that ciliary muscle contraction is linked to neurologic system)
I have got 2 questions in my mind :
1) Should I try atropine longer (1 year ?). Are there risks for the retina by having a long-term atropinization ?
2) In my case, as the 3-month atropine treatment didn't work, do you think that a clear lens
extraction could be a good idea ?
I would be very grateful if you could advise me.