Boschi A, Bergmans J, Moulaert E, Spiritus M
Service d'Ophtalmologie, U.C.L., Bruxelles.
Bull Soc Belge Ophtalmol. 1990;239:51-60.
Insufficiency of accommodation in children is often misdiagnosed, and particularly in preschool age. Subject if symptoms are unspecific, asthenopia, difficulties in nearwork, and for concentration. Differential diagnosis must be done between dyslexia, non refractive accommodative esotropia with high AC/A. In some cases we can't exclude the possibility of myasthenia even if this subject is still in discussion. The authors report two clinical cases of hypoaccommodation in children.
儿童调节功能不全常被误诊，尤其是在学龄前。如果症状不具特异性、有视疲劳、近距离工作困难及注意力不集中等情况，就需考虑该病症。必须对诵读困难、高AC/A比值的非屈光性调节性内斜视进行鉴别诊断。在某些情况下，即使该病症仍存在争议，我们也不能排除重症肌无力的可能性。作者报告了两例儿童调节功能减退的临床病例。
