- 作者：Ana M. Muñ ; oz-Herná ; ndez ; ammh.humanes@yahoo.es ; Rocí ; o Garcí ; a-Catalá ; n ; Enrique Santos-Bueso ; Consuelo Ló ; pez-Abad ; Javier G. Gil-De-Bernabé ; David Dí ; az-Valle ; José ; M. Bení ; tez-Del-Castillo-Sá ; nchez ; Juliá ; n Garcí ; a-Sá ; nchez
- 关键词：Pé ; rdida visual de causa no orgá ; nica ; Simulació ; n infantil ; Simulació ; n adultos
- 刊名：Archivos de la Sociedad Espa帽ola de Oftalmolog铆a
- 出版年：2011
- 期刊代码：pca66_03656691
- 类别：med
- 出版时间：October 2011
- 卷：86
- 期：10
- 页码：320-326
- 文件大小：606 K
lass="h4">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.
lass="h4">Discussion
A non-organic cause of visual loss is a common problem in Ophthalmology. Simulation is the diagnosis used when聽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.