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Related Experiment Video

Updated: Nov 3, 2025

Author Spotlight: An Automated Method for Assessing Visual Acuity in Infants and Toddlers Using an Eye-Tracking System
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Nonorganic visual loss in a child.

Bipasha Mukherjee1, Suraj Nayak2

  • 1Department of Orbit, Oculoplasty, Reconstructive and Aesthetic Surgery, Chennai, Tamil Nadu, India.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|June 4, 2021
PubMed
Summary

Nonorganic visual loss (NOVL) is a rare condition presenting as vision loss without an organic cause. This case highlights NOVL as a crucial diagnosis in children with unexplained visual symptoms.

Keywords:
Non-organic visual losspsychogenic ptosisvisual conversion disorder

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Area of Science:

  • Ophthalmology
  • Neurology
  • Psychiatry

Background:

  • Nonorganic visual loss (NOVL) is a rare manifestation of conversion disorder.
  • It is suspected when symptoms disproportionately exceed clinical signs and no organic cause exists.

Observation:

  • A 10-year-old boy experienced recurrent sudden ptosis, decreased vision, and diplopia.
  • Initial diagnosis of juvenile myasthenia gravis was made elsewhere.
  • Extensive investigations were negative, prompting a psychological evaluation.

Findings:

  • The child was diagnosed with nonorganic visual loss (NOVL).
  • Symptoms resolved spontaneously after therapy.
  • This case underscores NOVL as a differential diagnosis in pediatric vision loss.

Implications:

  • Highlights the importance of considering psychogenic causes for visual disturbances in children.
  • Emphasizes the need for comprehensive evaluation when organic etiologies are ruled out.
  • Suggests potential for spontaneous recovery with appropriate psychological intervention.