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Wydanie 2/2005

Objawy okulistyczne w zaburzeniach dysocjacji u dzieci

Ophthalmological Symptoms in Dissociative Disorders in Children

Krystyna Kanigowska, Mirosława Grałek, Wojciech Hautz, Dorota Klimczak-Ślączka

Klinika Okulistyki Instytutu ?Pomnik ? Centrum Zdrowia Dziecka? w Warszawie Kierownik: prof. dr hab. med. Mirosława Grałek

Summary: Purpose: To analyse the problem of nonorganic visual dysfunction in psychiatric and psychosocial abnormalities in children. Materials and methods: To present 21 consecutive pediatric patients with a variety of nonorganic visual signs and symptoms. All children have complete ophthalmologic, neurologic and psychiatric examination, including visual acuity, color vision, slit lamp examination and fundoscopy, visual fields, stereovision, and in some cases fluorescein angiography, electrophysiology, computed tomography or magnetic resonance imaging. Results: All children have ocular conversion reaction, fourteen patients were felt to be under significant home or school stress. Conclusion: In same visual disturbances in children, neurological and psychiatric examination is necessary.

Keywords: visual disturbances, nonorganic visual loss, ocular conversion (dissociative) reaction, psychosocial stress

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