@article{e0a7b2e3812443be82bd947d35d927b3,
title = "Pseudomyopia as a presenting sign in ocular myasthenia gravis",
abstract = "A 26-year-old man was seen because of his complaint of constant blurring of vision at distance for five days. The blurring was due to three diopters of pseudomyopia associated with attempts to overcome a marked convergence insufficiency and exotropia due to ocular myasthenia gravis. Pyridostigmine therapy brought improvement but not resolution. Pseudomyopia associated with a true spasm of accommodation has been described previously in this condition. This patient, however, did not have a true spasm of accommodation. His pseudomyopia was ascribed to {"}substitute convergence{"} to compensate for marked myasthenic weakening of the medial recti muscles.",
author = "Romano, {Paul E.} and Stark, {Walter J.}",
note = "Funding Information: Case 1—An otherwise healthy 26-year-old white man was referred to the Wilmer Institute with a five-day history of constant blurring of vision at distance only. This was accompanied by horizontal diplopia and a {"}stabbing{"} discomfort over both eyes, relieved by rest. He noted no fatigue factor in his symptoms and denied symptoms of systemic or From the Wilmer Institute of Ophthalmology, The lohns Hopkins University School of Medicine, Baltimore, Maryland. This study was supported in part by Public Health Service Special Fellowship NB-1896-01 (Dr. Romano) from the National Institute of Neurological Diseases and Blindness, Bethesda, Maryland. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",
year = "1973",
month = may,
doi = "10.1016/0002-9394(73)90894-5",
language = "English (US)",
volume = "75",
pages = "872--875",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "5",
}