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Updated: Mar 26, 2026

Integrated Photoacoustic Ophthalmoscopy and Spectral-domain Optical Coherence Tomography
Published on: January 15, 2013
[Pathomimia in ophthalmology: We must acknowledge it!]
N Tzili1, H El Orch1, S Ahbeddou1
1Service d'ophtalmologie B, hôpital des spécialités, CHU de Rabat, quartier Souissi, 6220 Rabat, Maroc.
Abstract:
Pathomimia is an unconscious falsification of physical manifestations. The eyelids and ocular surface are almost always affected because of the easy accessibility to these structures for the purpose of attracting attention from one's entourage as well as the medical community. We report four cases of lid and conjunctival pathomimia. The diagnosis was made after a long follow-up and numerous ancillary tests.
Insights
Pathomimia involves unconscious self-inflicted physical symptoms, often affecting the eyes. This case series highlights the diagnostic challenges of ocular and conjunctival pathomimia, requiring extensive follow-up.
Area of Science:
- Ophthalmology
- Psychiatry
- Dermatology
Background:
- Pathomimia is characterized by the unconscious falsification of physical symptoms.
- The eyelids and ocular surface are frequently involved due to their accessibility for attention-seeking behaviors.
Observation:
- This report details four cases of pathomimia affecting the eyelids and conjunctiva.
- Patients presented with symptoms that mimicked organic disease processes.
Findings:
- Diagnosis of pathomimia was challenging and required prolonged observation.
- Numerous ancillary tests were conducted before a definitive diagnosis could be established.
Implications:
- Ocular and conjunctival pathomimia necessitates a high index of suspicion.
- Multidisciplinary collaboration is crucial for accurate diagnosis and management of these complex cases.
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