Acute comitant esotropia in a child has a mixed set of differentials and we present a report of three cases in children who presented with acute onset diplopia. On careful history taking, all the kids reported an excessive use of the smart phone in the preceding month. We hypothesise that excessive use of the smart phone at near leads to excessive stimulation of ciliary muscle, hence accommodative spasm in these children. This is the first case series to report an association of smart phones and accommodative spasm.
Keywords: Diplopia; accommodative spasm; smart phone.
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