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[Psychogenic blindness caused by a command to kill]

G Kluxen1

  • 1Augenabteilung des Krankenhauses Wermelskirchen.

Psychotherapie, Psychosomatik, Medizinische Psychologie
|March 1, 1995
PubMed
Summary
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A soldier developed psychogenic amblyopia after witnessing atrocities, leading to 52 years of blindness. His vision only improved after developing glaucoma in his other eye, highlighting the long-term psychological impact of trauma.

Area of Science:

  • Psychology
  • Ophthalmology
  • Military History

Background:

  • Case study of Corporal H.M., a soldier involved in wartime atrocities.
  • Details his assignment to a firing squad during the 1941 German advance in White Russia.

Observation:

  • Corporal H.M. experienced sudden blindness in his right eye overnight before a scheduled shooting practice.
  • As a right-handed marksman, this rendered him unable to shoot, leading to his transfer and subsequent wounding at the front.

Findings:

  • Diagnosed with "autonomic vasomotor neurosis" and weak vision, he was discharged after 18 months of hospitalization.
  • His psychogenic amblyopia persisted for 52 years until glaucoma in his left eye caused amaurotic blindness.
  • Following the glaucoma, his right eye's vision partially recovered to 10% but was impaired by a brunescent cataract.

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Implications:

  • This case illustrates the profound and enduring psychological impact of traumatic experiences, manifesting as prolonged psychogenic vision loss.
  • It underscores the complex interplay between psychological trauma, neurosis, and physiological responses, affecting visual function.
  • The delayed and incomplete visual recovery highlights the chronic nature of trauma-induced conditions and the potential for secondary ocular complications.