{'fraction_non_alphanumeric': 0.011986301369863013, 'fraction_numerical': 0.003424657534246575, 'mean_word_length': 5.358695652173913, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Spasm of the Near Reflex Mimicking Deteriorating Accommodative Esotropia

Purpose To describe a patient with accommodative esotropia who developed spasm of the near reflex. Case report A 6-year-old girl with a history of successfully treated refractive, accommodative esotropia suddenly developed spasm of the near reflex after the death of a relative. The condition resolved after 2 months. Conclusion Spasm of the near reflex should be considered in children with accommodative esotropia who seem to deteriorate and become esotropic once again while wearing their hyperopic glasses.