Brunner, Romuald and Jagle, Herbert and Kandsperger, Stephanie (2021) Dissociative Visual Loss in Children and Adolescents. KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 238 (10). pp. 1084-1091. ISSN 0023-2165, 1439-3999
Full text not available from this repository. (Request a copy)Abstract
Psychogenic vision disorders in children and adolescents are a common disorder primarily encountered by ophthalmologists at the onset because, as with other disorders of dissociation, the presentation suggests a neurologic or other somatic condition. Loss of visual acuity, blurred vision and visual field restriction-often described as tunnel vision-appears to be typical. The onset may be sudden, frequently related to a wide range of stressful life events (school failure, family conflicts, accidents). While the majority of these children quickly recover from their symptoms, a substantial percentage experience persistent symptoms or a fluctuating course. Due to the lack of efficacy studies of specific treatment protocols, diagnostic work-up and treatment suffer from a high degree of uncertainty. Differentiating dissociative visual loss from physical illness requires special expertise. The uncertainty of ophthalmologists and the other specialists involved in dealing with this clinical condition often delays the specialised treatment and may also trigger inadequate therapy with the iatrogenic risk of harming the patient. This article primarily describes the disorder-specific psychiatric diagnostic as well as the somatic differential diagnostic work-up and outlines the therapeutic principles of dissociative visual loss.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CONVERSION REACTIONS; DISORDERS; NEUROLOGY; VISION; MANAGEMENT; CHILDHOOD; functional visual loss; dissociative sensory loss; hysterical blindness; conversion disorder; neuroophthalmology |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Aug 2022 06:17 |
| Last Modified: | 02 Aug 2022 06:17 |
| URI: | https://pred.uni-regensburg.de/id/eprint/45957 |
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