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January 1965

Transient Accommodative Paresis Complicating Mumps: With Preservation of Pupillary Constriction for Near Vision

Author Affiliations

New Orleans
Fellow in Ophthalmology, Alton Ochsner Medical Foundation.

Arch Ophthalmol. 1965;73(1):86. doi:10.1001/archopht.1965.00970030088018

Butler and Wilson1 reported two cases of transient paralysis of accommodation and paralytic mydriasis associated with mumps. Belz and Bouchel2 reported a case of mumps associated with transient paralysis of accommodation and normal pupillary reactions. The following case differs from these in that the pupil failed to react to light but was definitely, with or without associated convergence, stimulated to contract in response to the awareness of a near object.

Report of Case  A Negro boy, aged 11 years, was brought to the E. A. Conway Memorial Hospital in Monroe, La, with the chief complaint of abdominal pain of 12 hours' duration. He had had mumps for the past two weeks.On admission the temperature was 102 F (38.9 C). Both parotid glands were firm, tender, and noticeably swollen. The eyes were normal to inspection and the pupils reacted normally to light and accommodation. Slight tenderness and muscle