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Colour Vision Disorder due to Conversion Disorders in Childhood
Deborah-Teresa Thieme1, Romuald Brunner2, Stephanie Kandsperger2
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, Deutschland.
Klinische Monatsblatter Fur Augenheilkunde
|October 18, 2021
Summary
Diagnosing conversion disorder with color vision problems is tricky, especially with existing eye conditions. Early diagnosis and team-based care are key for successful treatment.
Area of Science:
- Ophthalmology
- Psychiatry
- Pediatrics
Background:
- Non-organic vision loss, including reduced vision and visual field defects, is common.
- Color vision disorders as a symptom of conversion disorder are rarely documented.
Observation:
- A case study of a 9-year-old boy presenting with isolated color vision disorder due to conversion disorder.
- The diagnostic challenge was compounded by a pre-existing congenital red-green deficiency.
- Difficulty in diagnosis and parental convincing were significant hurdles.
Findings:
- Conversion disorder can manifest with isolated color vision deficits.
- Somatic comorbidities can complicate the diagnosis of psychogenic vision disorders.
- Accurate diagnosis requires ruling out organic etiologies.
Implications:
- Emphasizes the importance of considering conversion disorder in patients with vision complaints.
- Highlights the necessity of a multidisciplinary approach for managing complex cases.
- Suggests that careful evaluation is needed when psychogenic and somatic symptoms coexist.
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