Steffen Heimo
Klin Monbl Augenheilkd. 2018 May;235(5):647-658. doi: 10.1055/a-0583-6532. Epub 2018 Feb 28.
Non-organic visual loss is a frequent challenge in ophthalmic practice. In children most patients are prepubertal females. The most frequent manifestation in this age-group is a bilateral unexplained decrease of visual acuity. In adulthood patients often indicate a degree of visual loss after an accident or a disease - that could not be explained by the eye condition alone. Non-organic visual loss may be frustrating for both, patients and physicians. The aim of the present article is to sensitize ophthalmologists to this condition and to provide a diagnostic frame and strategy how to manage patients with such a diagnosis.
非器质性视力丧失是眼科临床中常见的难题。在儿童中，大多数患者为青春期前女性。该年龄组最常见的表现是双眼不明原因的视力下降。在成年人中，患者常称在事故或疾病后出现一定程度的视力丧失，而这仅靠眼部情况无法解释。非器质性视力丧失对患者和医生来说都可能令人沮丧。本文旨在提高眼科医生对这种情况的认识，并提供一个诊断框架和策略，以指导如何处理此类诊断的患者。
