Sletteberg O, Bertelsen T, Høvding G
Department of Ophthalmology, University of Bergen, Haukeland Sykehus, Norway.
Acta Ophthalmol (Copenh). 1989 Apr;67(2):159-63. doi: 10.1111/j.1755-3768.1989.tb00746.x.
During the period 1962-1986, 54 patients received the diagnosis hysterical visual impairment, i.e. 1 out of every 631 patients admitted to our department. Isolated visual acuity impairment was the most common symptom, followed by combined visual acuity impairment and visual field constriction, whereas isolated visual field constriction occurred most infrequently. The mean age of the patients in the first group was significantly lower than that of the patients in the latter group. A questionnaire sent to all patients in 1987 was answered by 41 patients. Twenty-one of these (51%) felt that their visual function now was good, whereas 20 (49%) claimed that their visual function was still poor. Nine patients (22%) were disabled because of their visual problems. Twenty-nine of the patients who answered the questionnaire were re-examined. Sixteen of these (55%) still showed visual impairment at the follow-up, while 13 (45%) showed complete disappearance of visual complaints. The younger patients appeared to have a better prognosis than the older ones.
在1962年至1986年期间，54例患者被诊断为癔症性视力障碍，即每631例入住我科的患者中有1例。单纯视力损害是最常见的症状，其次是视力损害合并视野缩窄，而单纯视野缩窄最为少见。第一组患者的平均年龄显著低于后一组患者。1987年向所有患者发放了问卷，41例患者进行了回复。其中21例（51%）认为他们现在的视力功能良好，而20例（49%）声称他们的视力功能仍然很差。9例患者（22%）因视力问题而残疾。对29例回复问卷的患者进行了复查。其中16例（55%）在随访时仍有视力损害，而13例（45%）的视力主诉完全消失。年轻患者的预后似乎比老年患者更好。
