Gotz-Wieckowska A, Bernardczyk-Meller J, Dziedzic-Szeszuła E, Cymerys E
Katedry i Kliniki Okulistyki AM im. K. Marcinkowskiego w Poznaniu.
Klin Oczna. 1999;101(2):123-6.
To present diagnostical and therapeutical problems connected with children and adolescents suspected of aggravation or simulation of visual problems.
5 patients between 10 and 13 years old with visual disturbances sent to ophthalmologist with suspicion of neuritis retrobulbaris or tumor cerebri.
Complexive diagnostical investigations (including visual field tests, color vision tests, visual evoked potentials) with complete ophthalmological examinations of visual organ and psychological evaluation of patients.
The normal results of ophthalmological examinations and of all diagnostical investigations including visual evoked potentials. Psychological evaluation of patients showed psychological troubles of the young ones.
The normal results of visual evoked potentials confirm the diagnosis of psychogenic visual disturbances and allow to save children before other medical invasive investigations. Such patients with psychogenic visual disturbances and their families usually need a special kind of psychogenic therapy.
阐述与疑似视力问题加重或伪装的儿童及青少年相关的诊断和治疗问题。
5名年龄在10至13岁之间有视力障碍的患者,因疑似球后视神经炎或脑肿瘤被转诊至眼科医生处。
进行全面的诊断性检查(包括视野测试、色觉测试、视觉诱发电位),同时对视觉器官进行全面眼科检查,并对患者进行心理评估。
眼科检查以及包括视觉诱发电位在内的所有诊断性检查结果均正常。对患者的心理评估显示这些年轻人存在心理问题。
视觉诱发电位的正常结果证实了精神性视觉障碍的诊断,并使得在进行其他有创医学检查之前就能挽救儿童。这类患有精神性视觉障碍的患者及其家庭通常需要一种特殊的心理治疗。