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Accommodative insufficiency (AI) is common in children, however, has not been described in Prader–Willi syndrome (PWS). This case report presents severe AI in a child with PWS and a rare mutation on chromosome 15 (methylation at locus SNRPN).
A 15-year-old boy with PWS presented with the complaint about needing to remove distance glasses while read...
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... 15-year-old boy with PWS presented with the complaint about needing to remove distance glasses while reading. His first spectacles were prescribed at the age of 12 years, and with the recent change of glasses an exacerbation of the condition was noted (Fig. 1). The visual acuity in his right eye was 20/20 with À2.0 D, and in his left eye 20/20 with À2.75/À0. 25/173°. No abnormal findings in the anterior segment and eye fundus were present, and the eye position was correct. The pupil width in mesopic conditions was 7.2 mm in the right eye, and 7.1 mm in the left eye. The amplitude of ...