| Conversion visual loss: a differential diagnosis in infant amblyopia. | |
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MedLine Citation:
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PMID: 19882565 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report the first case of amblyopia due to a conversion disorder in a child. METHODS: A 9-year-old girl without allergies or family or personal antecedents of interest presented to our clinic. She manifested a progressive visual loss after an episode of lumbar pain. This progressive loss led the patient in a 6-month period to legal bilateral blindness: visual acuity inferior to 2/20 in both eyes and severe constriction of both visual fields. RESULTS: Several pathologic processes were discarded by means of multiple explorations and a general multidisciplinary analysis: physical pathology, simulating patient, schizophrenia, and the Briquet syndrome. Finally, she was diagnosed with a conversion somatoform disorder leading to a bilateral blindness. For 6 months, the patient was successfully treated with psychotherapy and a pharmacologic protocol. Total recovery was achieved with final visual acuity of 20/20 in both eyes and normal visual fields. CONCLUSION: Conversion disorders should be considered as an additional etiology of visual loss in children. In these cases, the analysis and multidisciplinary treatment is crucial for a successful outcome. |
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Authors:
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Carlos Laria; Maria Elena Perez; Eduardo Perez; David Pablo Pinero; Jos?? Maria Ruiz-Moreno; Jorge L Ali?? |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of ophthalmology Volume: 19 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2009 Nov-Dec |
Date Detail:
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Created Date: 2009-11-09 Completed Date: 2010-01-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
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Languages: eng Pagination: 1065-8 Citation Subset: IM |
Affiliation:
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Instituto Oftalmol??gico de Alicante, VISSUM, Alicante, Spain. Laria1@telefonica.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amblyopia
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etiology*,
physiopathology Blindness / etiology*, physiopathology Child Conversion Disorder / complications*, diagnosis, drug therapy Drug Therapy, Combination Female Fluoxetine / therapeutic use Humans Hypnotics and Sedatives / therapeutic use Lorazepam / analogs & derivatives, therapeutic use Serotonin Uptake Inhibitors / therapeutic use Visual Acuity / physiology |
| Chemical | |
Reg. No./Substance:
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0/Hypnotics and Sedatives; 0/Serotonin Uptake Inhibitors; 54910-89-3/Fluoxetine; 846-49-1/Lorazepam; 848-75-9/lormetazepam |
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