u/MosesBeacon

▲ 2 r/BinocularVision+1 crossposts

Unilateral accommodative spasm in my good eye making life difficult

I have permanent double vision after three strabismus surgeries as a kid. My left eye has always been my good eye and for 15 years now I have become accustomed to closing my right eye and using my left. About a week ago I noticed the vision in my left eye was suddenly super blurry - both near and distance vision. After a few days it hadn't gone away but actually had gotten worse so I went to the optometrist. The refraction in my current glasses which were perfectly fine the day before it all went blurry is -1.75. The autorefraction machine was showing -7.5 and the other eye tests were -6.0. The photos and scans showed the eye itself was perfectly healthy so I got an urgent referral to an ophthalmologist. Saw them the next day. During that appointment cyclopentolate drops were put in and my distance vision cleared up. I was given enough drops for 5 days and told to come back for a follow up in a couple of months. I've now done day 4 of the drops and every time they wear off the blurriness immediately returns and seems to be getting worse. It's not intermittent either. I'm almost 30 and have never had an accommodative spasm before. A previous ophthalmologist considered it and ruled it out because I didn't have miosis at the time.

I just have a few questions for anyone that might have experienced this condition.

Does this condition tend to occur more in both eyes or one? What would be the reason for this.

For anyone else who has had it, did you have blurry vision for distance only or both near and distance?

Is it often resistant to treatment or take a long time to fix itself? I've been told I can't take cyclopentolate for too long. I don't really want to anyway.

What are the chances of it being caused by an illness or some other condition? I can't think of any lifestyle factors/changes that would have caused it.

Finally, does anyone have any advice for what to do soon when I've got no more drops, can't see anything out of the eye I use to see everything, and inevitably can't get back in to the ophthalmologists for days at a minimum? I feel like gouging my eyes out some days.

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u/MosesBeacon — 5 days ago