Neetens A, Smet H
Département d'Ophtalmologie, Université d'Anvers, UIA.
Klin Monbl Augenheilkd. 1988 May;192(5):551-4. doi: 10.1055/s-2008-1050176.
Certain patients with reduction or loss of central visual function and/or hemianopic changes of the visual field can be classified as well-informed malingerers, individuals who are easily influenced by suggestion, or neurotics suffering from "conversion hysteria." The main symptom is one of a functional sensory change (loss or reduction of visual field). The task falling to the ophthalmologist is to prove the contrary, using certain subjective and objective tests to prove the incompatibility of the results with the physiological facts. The authors discuss the specificity of these tests in this context and present a number of cases with the characteristic temporal or nasal functional hemianopsia comparing them with patients who have hemianopsias due to real anatomic lesions.
某些中央视觉功能减退或丧失和/或视野出现偏盲变化的患者，可被归类为蓄意诈病者（这类人消息灵通）、易受暗示影响的人或患有“癔症性转换障碍”的神经症患者。主要症状是功能性感觉变化之一（视野丧失或缩小）。眼科医生的任务是通过某些主观和客观测试来证明相反的情况，即证明结果与生理事实不相符。作者在此背景下讨论了这些测试的特异性，并展示了一些具有特征性颞侧或鼻侧功能性偏盲的病例，并将它们与因真正解剖病变导致偏盲的患者进行比较。
