Spasm of the Near Reflex

Spasms of accommodation and convergence are usually functional in nature, but are occasionally the result of a severe head injury or part of a dorsal midbrain syndrome. A highly variable (moment-to-moment) esotropia is accompanied by pupillary miosis and accommodative myopia. When binocular horizontal pursuit movements are tested, the adducting eye takes up fixation in either direction. This pseudo-abducens palsy is usually enhanced during cover/uncover testing (■ Fig. 10.8). The spasms can last for a few seconds or for several hours. In addition to the blurring and diplopia, headache is associated with the longer lasting spasms.

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Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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