Nguyen Hien Thu Thi, Hoang Tung Thanh, Tran Anh Phuong, Tran Huy Dinh Minh
Vietnam National Institute of Ophthalmology, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
Case Rep Ophthalmol. 2020 Jun 25;11(2):229-233. doi: 10.1159/000508236. eCollection 2020 May-Aug.
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.
一名此前健康的10岁女孩出现无痛性视力丧失。她被诊断为调节痉挛，这一诊断通过睫状肌麻痹验光得到证实。她被开了低剂量阿托品，之后再次报告急性视力丧失，这与日常功能水平不符。她因疑似非器质性视觉障碍被转介给一名儿童精神科医生，并被诊断为转换障碍。她接受了心理治疗，并继续使用低剂量阿托品治疗。她的远距离视力恢复正常。心因性视力丧失可能会模仿器质性疾病；因此，眼科医生应注意那些视觉体征与日常表现不一致的病例。
