Buschmann W, Linnert D
Klin Monbl Augenheilkd. 1977 Nov;171(5):795-7.
Paralyses of accommodation are safely diagnosticizable even in patients over 45 years of age provided there is no complete presbyopia. The identification can be a key to diagnosing the entire disease pattern. In one case a suspected Adie's syndrome with amblyopia and without any connection with internment and damage due to malnutrition was identified as ophthalmoplegia interna with partial atrophy of the n. opticus, most probably caused by malnutrition encephalopathy or encephalitis. In another patient, a bilateral isolated accommodation paralysis indicated damage of the accommodation center during concussion of the brain (possibly only a functional damage).
即使在45岁以上的患者中，只要没有完全老花眼，调节麻痹也可安全诊断。这种识别可能是诊断整个疾病模式的关键。在一个病例中，一名疑似伴有弱视且与拘禁及营养不良所致损害无任何关联的阿-罗瞳孔综合征患者，被诊断为动眼神经麻痹伴视神经部分萎缩，极有可能是由营养性脑病或脑炎引起。在另一名患者中，双侧孤立性调节麻痹表明在脑震荡期间调节中枢受损（可能仅是功能性损伤）。
