Internship diaries – A Missed Spasm
I did my clinical internship at a tertiary hospital, which had many branches. I was posted in the city centre, which unlike a tertiary hospital is smaller and has lesser specialities. There I had come across a patient, 24-year-old female, who complained of severe eye strain, frequent change in spectacles and watering from both eyes for a while. After the history taking and Visual acuity examinations, I started doing retinoscopy and to my surprise, I found a variable reflex, to anyone who knows retinoscopy knows how rare it is to find a variable reflex. I tried doing it multiple times with multiple lenses and different distances, and I knew it was an accommodating reflex. I was so excited I asked my colleagues to have a look at it as well. After performing the subjective refraction I gave a tentative diagnosis of accommodative spasm, which requires cycloplegic refraction. Read More
