Purpose: We report a case of refractive power change associated with choroidal effusion and temporary ocular deviation after a spinal fracture. Case summary: A 29-year-old woman had compression fracture of 12th thoracic vertebra after falling and complained of decreased vision and diplopia. In the ophthalmic examination, she had -2.875 D and -3.25 D spherical equivalent refractive error of right and left eye, respectively. There were choroidal effusions of both eyes in fundus exam. The anterior chamber shallowing and the ciliary body edema were noted on ultrasound biomicroscopy. The prism cover test shows 8 prism diopters (PD) exotropia and 12 PD hypertropia of her left eye. The patient was observed without any special treatment for a month. Conclusions: After a month follow up, the choroidal effusion was completely resolved and the patient recovered her vision with almost emmetropic state. Her ocular deviation was also recovered and diplopia was disappeared. Ann Optom Contact Lens 2015;14(3):181-184 |