A patient came to my practice for ongoing and worsening anxiety attacks. No usual interventions were effective. Symptoms led back to time of Lasik surgery. Although he had 20/20 visual acuity, with haloes and starbursts, there was no relevant feedback about the post operative course. I am familiar with the condition in children and teenagers, but not with these moderating factors. It seems that vision therapy is indicated, but I'm wondering about correlational research with the three conditions.
Thank you.
Dear Janet,
Here is one paper. Check out if it helps you:
Article Panic after LASIK: Acute medication-induced myopic recurrenc...
Beatrice,
I will keep your research in mind, since I do prescribe medications, but have never had this combination of factors. Thank you for adding to my knowledge base
To Ann Payne,
Thank you for describing your clinical observations, adding to the evidence of this issue. I believe that the recognition and awareness of the possibility of this condition, needs more research. Since I posed the question, I've been reading the research. In my recent reading and career experience this is "convergence insufficiency" due to muscles not working together. It is a condition that occurs in children and young people without having cataract surgery; vision therapy or specific eye exercises are the treatment of choice. In the past, prism eyeglasses were prescribed. In practice, There are simple strategies for screening.
The front-runner of treatment and research was Dr. Constantine “Gus” Forkiotis, a developmental optometrist, since deceased. His seminal research and publications are worth reading.
Something to consider while taking the medical history in psychiatric assessment.
Janet
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I made a brief search for the variables and could not find any articles with all three variables. I found articles with correlations between two variables at a time. Most of my search results were older pilot studies...
Very interesting! Please let us know when and if you dig any deeper.
I will. This patient is going to an optometrist and consulting at a major eye institute. Anxiety is such an ubiquitous occurrence but I'm looking fir the oculovagal response. Have a feeling that the variable of Laski cataract surgery will provide the most challenging factor to identify.
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