Simulación en oftalmología

  1. Ana M. Muñoz-Hernández
  2. Rocío García-Catalán
  3. Enrique Santos-Bueso
  4. Consuelo López-Abad
  5. Javier G. Gil-De-Bernabé
  6. David Díaz-Valle
  7. José M. Benítez-Del-Castillo-Sánchez
  8. Julián García-Sánchez
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2011

Volume: 86

Issue: 10

Pages: 320-326

Type: Article

DOI: 10.1016/J.OFTAL.2011.04.007 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Clinical cases: Four cases of patients simulating eye problems are reported. The patients included: an adopted 9 year-old girl complaining of bilateral visual loss, a 10 year-old girl with school and family problems complaining of decreased visual acuity, a 22 year-old female mentioning unilateral visual loss after a car accident, and a 30 year-old female complaining of decreased visual acuity after refractive surgery. Structural and functional tests were performed on all 4 patients and none of the tests revealed any pathological findings. The 4 cases were diagnosed as patients simulating ophthalmological symptoms. Discussion: A non-organic cause of visual loss is a common problem in Ophthalmology. Simulation is the diagnosis used when an adult consciously tries to obtain some kind of benefit without proven pathology. In the case of children, obtaining benefit is not their intention, but psycho-social and psychiatric problems are frequently associated in these cases.

Bibliographic References

  • Kathol, RG, Cox, TA, Corbett, JJ, Thompson, HS, Clancy, J. (1983). Functional visual loss: a true psychiatric disorder?. Psychol Med.. 13. 307
  • Beatty, S. (1999). Non-organic visual loss. Postgrad Med J.. 75. 201
  • Gallego Lago, I, Zarco Villarosa, D, Rodríguez Salvador, V. (2005). Simulación y disimulación en Oftalmología. 1. Editorial Glosa. Barcelona.
  • Simons, K, Reinecke, RD. (1974). A reconsideration of amblyopia screening and stereopsis. Am J Ophthalmol.. 78. 707
  • Goodwin, RT, Romano, PE. (1985). Stereoacuity degradation by experimental and real monocular and binocular amblyopia. Invest Ophthalmol Vis Sci.. 26. 917
  • Álvarez, JL, Tàpias, M. Generalidades sobre la visión binocular.
  • Scott, JA, Egan, RA. (2003). Prevalence of organic neuro-ophthalmologic disease in patients with functional visual loss. Am J Ophthalmol.. 135. 670
  • Mesa, F, Losada, MJ, García, M, Arteaga, V, Álvarez, A, Abreu, JA. (2001). Ceguera post-traumática como manifestación de un trastorno de conversión. Arch Soc Canar Oftal..
  • Taich, A, Crowe, S, Kosmorsky, GS, Traboulsi, EI. (2004). Prevalence of psychosocial disturbances in children with nonorganic visual loss. J AAPOS. 8. 457
  • Bain, KE, Beatty, S, Lloyd, C. (2000). Non-organic visual loss in children. Eye. 14. 770
Data source: Dialnet