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Functional visual loss in children.

R A Catalono, J W Simon, G B Krohel

    Ophthalmology
    |March 1, 1986
    PubMed
    Summary
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    Functional visual loss in children, characterized by blurred vision, often resolves with reassurance and parental support. Psychiatric referral is typically unnecessary, though abuse should be considered.

    Area of Science:

    • Ophthalmology
    • Pediatrics
    • Psychiatry

    Background:

    • Functional visual loss (FVL) is a diagnosis of exclusion.
    • It can present with various visual disturbances and associated symptoms.

    Purpose of the Study:

    • To evaluate the characteristics, treatment, and outcomes of FVL in children.
    • To determine the necessity of psychiatric referral for pediatric FVL.

    Main Methods:

    • Retrospective case series of 23 children (aged 6-17) diagnosed with FVL.
    • Treatment involved reassurance and follow-up; no specific psychiatric interventions were mandated.

    Main Results:

    • Most children experienced symptom resolution within 24 hours (33%) or two months (75%).

    Related Experiment Videos

  • Parental support correlated with faster recovery.
  • Associated symptoms included headaches, visual field loss, and diplopia.
  • Family/school conflicts were common; 4 children had a history of abuse.

    • Conclusions:

    • FVL in children is often successfully treated with reassurance and supportive care.
    • Psychiatric referral is generally not required.
    • Consider sexual or physical abuse as a potential contributing factor.