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Case Reports
. 2020 Jun 25;11(2):229-233.
doi: 10.1159/000508236. eCollection 2020 May-Aug.

Combined Interventions for Nonorganic Visual Loss in a Case with Pseudo-Myopia: A Perspective from Vietnam

Hien Thu Thi Nguyen  1 , Tung Thanh Hoang  2   3 , Anh Phuong Tran  1 , Huy Dinh Minh Tran  4   5
Affiliations
Case Reports

Combined Interventions for Nonorganic Visual Loss in a Case with Pseudo-Myopia: A Perspective from Vietnam

Hien Thu Thi Nguyen et al. Case Rep Ophthalmol. .

Abstract

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.

Keywords: Atropine; Nonorganic visual loss; Spasm of accommodation.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
The fluctuation of visual acuity and auto-refraction parameters in the right (a) and left (b) eye with various concentrations of atropine.
See this image and copyright information in PMC

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