功能性视力障碍:对诊断,管理和成本的审查
Brendan Ka-Lok Tao1, Jim Shenchu Xie2, Edward Margolin3
1Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
The British journal of ophthalmology
|February 2, 2024
概括
功能性视力障碍 (FVD) 诊断需要仔细评估,以区分其与有机条件. 结构化方法有助于准确诊断,管理,并降低与FVD相关的医疗保健成本.
科学领域:
- 眼科医生 眼科 眼科
- 神经眼科神经眼科
- 视觉神经科学是一种神经科学.
背景情况:
- 功能视力障碍 (FVD) 是一种常见的眼科诊断,由于担心缺失潜在的有机病理,往往具有挑战性.
- 患有FVD的患者通常呈现视力敏度或视野缺陷,模仿各种有机眼睛疾病.
研究的目的:
- 审查功能视力障碍的诊断方法.
- 讨论有机模仿,诊断和管理策略以及FVD的经济负担.
主要方法:
- 对诊断工作的全面审查,包括患者观察,病史,瞳孔检查,眼镜镜检查,视野测试和斑点质细胞分析.
- 用于单边 (折射,雾化,透镜,镜) 和双眼视力损失 (眼动,光动力鼓) 的特定测试.
- 确定了常见的有机模仿者,如眼盲,皮质失明,视神经炎,形缩和瘤.
主要成果:
- 结构化诊断方法可以有效地将FVD与其有机模仿物区分开来.
- 管理策略包括放心,减轻压力,解决并发性焦虑或抑郁症.
- 由于在准确诊断之前进行多次医疗保健访问和调查,FVD的经济成本是相当大的.
结论:
- 通过系统的方法,可以实现FVD的准确诊断,排除有机病理.
- 有效的管理侧重于患者的安慰和解决心理伴随性疾病.
- 及时诊断和管理FVD可以减轻显著的医疗保健成本和患者的痛苦.
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