Combined Interventions for Nonorganic Visual Loss in a Case with Pseudo-Myopia: A Perspective from Vietnam

A previously healthy 10-year-old girl developed painless visual loss. She was diagnosed with a spasm of accommodation confirmed by cycloplegic refraction. She was prescribed low-dose atropine and again reported acute visual loss that was inconsistent with the level of daily function. She was referre...

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Bibliographic Details
Published in:Case reports in ophthalmology 2020-06, Vol.11 (2), p.229-233
Main Authors: Nguyen, Hien Thu Thi, Hoang, Tung Thanh, Tran, Anh Phuong, Tran, Huy Dinh Minh
Format: Article
Language:English
Subjects:
atropine
Case Report
Case reports
Conversion disorder
Hospitals
Medical personnel
nonorganic visual loss
Ophthalmology
Pediatrics
Psychotherapy
spasm of accommodation
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Summary:A previously healthy 10-year-old girl developed painless visual loss. She was diagnosed with a spasm of accommodation confirmed by cycloplegic refraction. She was prescribed low-dose atropine and again reported acute visual loss that was inconsistent with the level of daily function. She was referred to a pediatric psychiatrist with suspicion for a nonorganic visual disorder and was diagnosed with conversion disorder. She received psychotherapy and continued the treatment with low-dose atropine. Her visual acuity at distance returned to normal. Psychogenic visual loss can mimic organic disorders; hence, ophthalmologists should be aware of cases without the agreement between visual signs and daily manifestation.
ISSN:1663-2699
1663-2699
DOI:10.1159/000508236