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Related Experiment Videos

Emotional factors in strabismus

J A Pratt-Johnson

    Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
    |October 1, 1977
    PubMed
    Summary

    Emotional disturbance can cause strabismus (eye misalignment) and worsen existing esotropia. Psychiatric treatment resolved strabismus in two adult cases, highlighting the mind-eye connection.

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    Area of Science:

    • Ophthalmology
    • Psychiatry
    • Neuroscience

    Background:

    • Strabismus, or eye misalignment, can be influenced by emotional states.
    • High AC/A ratio esotropia may be particularly susceptible to emotional disturbance.
    • The interplay between psychiatric conditions and ocular motor control requires further investigation.

    Observation:

    • Two adult cases of strabismus are presented.
    • The first case involved concomitant esotropia in a patient with paranoid schizophrenia.
    • The second case presented with symptoms mimicking a lateral rectus palsy.

    Findings:

    • Strabismus resolved completely in both patients following psychiatric treatment.
    • Emotional disturbance was identified as the primary cause of the observed strabismus.
    • The resolution of strabismus correlated directly with the alleviation of psychiatric symptoms.

    Implications:

    • Psychiatric interventions can be effective in treating certain types of strabismus.
    • This suggests a significant psychogenic component in some cases of eye misalignment.
    • Ophthalmologists and psychiatrists should consider mental health in the differential diagnosis of strabismus.

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