A 30 year old man has 6/5 vision each eye, unaided. His cycloplegic retinoscopy is +1.0 D sph. at 1 metre distance. His complaints are blurring of newsprint at 30 cm, that clears up in about two minutes. The most probable diagnosis is:
In Accommodative ineia patients first notice a delay in re-focusing from near fixation to distance, due to a degree of accommodative spasm. Ref: Clinical Ohoptics By Fiona J. Rowe, 2012, Page 250
Hypermetropia
Presbyopia
Accommodative ineia
Cycloplegia