<prompt> A 14 year old boy complains of pain during reading. On examination, his both eyes are normal and vision with Snellens reading is 65. He still complains of pain on occluding one eye. The diagnosis is :MyopiaPseudomyopiaHyperopiaEmmetropia  <response>: B i.e. Pseudomyopia This boy is having symptom of ocular strain pain during reading but vision with snellens reading without cycloplegia is normal 65 or 66 because he is compensating for his refractory error by hyperaccomodation. So the diagnosis is Pseudomyopia Accommodative spasm. 