PMC3039200_01
The patient was orthophoric at distance.
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F1
During an ocular alignment examination, she was found to be orthophoric at distance (Fig. 1).
The patient demonstrated esotropia of 15 to 20 prism diopters at near fixation. At this time, her pupils were constricted and autorefraction performed immediately after near fixation revealed -10.0 diopters of pseudomyopia.
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F2
However, variable degrees (10 to 30 prism diopters [PD]) of esodeviation and miotic pupils were evident only at near fixation (Fig. 2).
The patient's esodeviation at near fixation resolved only one month after initiation of the antipsychotic medications. The patient's visual acuity was 20/20 without glasses and her refraction was nearly emmetropic (+0.5 diopters).
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F3
One month after initiation of the antipsychotic medications, the patient's esodeviation at near fixation was resolved and all somatic complaints had ceased (Fig. 3).