A typical case of miraculous relief from blindness

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详细

This article describes a case of hysterical amblyopia in a 10.5-year-old girl. She complained of decreased vision for 4 months. The decrease in vision was a result of infectious mononucleosis and conjunctivitis. During the initial examination, typical signs of hysterical amblyopia were observed: a bilateral decrease in visual acuity, loss of field to tubular, and a corresponding impaired orientation in the surrounding space. Reversible changes in visual evoked potentials (VEP) were noted, indicating functional changes in the visual system, impaired color perception. A complete ophthalmological examination was performed, including standard methods and electrophysiological studies. Upon repeated examination after 1 day, complete relief of signs of hysterical amblyopia was noted, namely, an increase in visual acuity to 1.2, expansion of the boundaries of the visual field to normal values, normal binocular and accommodation functions, and normal trichromasia. This case was unique because of the complete restoration of visual functions that occurred spontaneously within 1 day. For the first time, reversible changes in visual evoked potential that were not previously described in the literature were revealed, and an undifferentiated violation of color perception was described.

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作者简介

Olga Proskurina

Helmholtz National Medical Research Center of Eye Diseases; A.I.Yevdokimov Moscow State University of Medicine and Dentistry

编辑信件的主要联系方式.
Email: proskourina@mail.ru
ORCID iD: 0000-0002-2496-2533
SPIN 代码: 1057-5866

MD, Dr. Sci. (Medicine)

 

俄罗斯联邦, Moscow; Moscow

Ludmila Kogoleva

Helmholtz National Medical Research Center of Eye Diseases

Email: kanc@igb.ru
ORCID iD: 0000-0002-2768-0443
SPIN 代码: 2241-7757

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Moscow

Yulia Bobrovskaya

Helmholtz National Medical Research Center of Eye Diseases

Email: kanc@igb.ru
ORCID iD: 0000-0001-9855-2345
SPIN 代码: 6202-2295

ophthalmologist

俄罗斯联邦, Moscow

参考

  1. Avetisov ES. Dysbinocular amblyopia and its treatment. Moscow: Medicine; 1968. (In Russ).
  2. Beatty S. Non-organic visual loss. Postgrad Med J. 1999;75(882):201–207. doi: 10.1136/pgmj.75.882.201
  3. Sisera L, Patzelt S, Gerth-Kahlert C. Non-Organic Visual Loss in Children and Teenagers. Klin Monbl Augenheilkd. 2022;239(4):599–604. (In German). doi: 10.1055/a-1778-4693
  4. Bose S, Kupersmith MJ. Neuro-ophthalmologic presentations of functional visual disorders. Neurol Clin. 1995;13(2):321–339.
  5. Chen CS, Lee AW, Karagiannis A, et al. Practical clinical approaches to functional visual loss. J Clin Neurosci. 2007;14(1):1–7. doi: 10.1016/j.jocn.2006.03.002
  6. Kalthoff H. Infantile hysterical amblyopia — no rare disease (author’s transl). Klin Monbl Augenheilkd. 1976;168(6):844–850. (In German).
  7. Sletteberg O, Bertelsen T, Høvding G. The prognosis of patients with hysterical visual impairment. Acta Ophthalmol (Copenh). 1989;67(2):159–163. doi: 10.1111/j.1755-3768.1989.tb00746.x
  8. Berman MS, Levi DM. Hysterical amblyopia: electrodiagnostic and clinical evaluation. Am J Optom Physiol Opt. 1975;52(4):267–274.
  9. Behrman J. The visual evoked response in hysterical amblyopia. Br J Ophthalmol. 1969;53(12):839–845. doi: 10.1136/bjo.53.12.839
  10. MacCana F, Bhargava SK, Kulikowski JJ. Flash and pattern VEPs: examples of cases of hysterical amblyopia and provoked visual impairment (Uhthoff’s sign). Ophthalmic Physiol Opt. 1983;3(1):55–60.
  11. Keane JR. Hysterical hemianopia. The ‘missing half’ field defect. Arch Ophthalmol. 1979;97(5):865–866. doi: 10.1001/archopht.1979.01020010423002
  12. Pérez-Flores MI, Fernández-Fernández M, Lorenzo-Carrero J. Acute concomitant esotropia and hysterical amblyopia. Arch Soc Esp Oftalmol. 2005;80(10):611–614. (In Spanish). doi: 10.4321/s0365-66912005001000010

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2. Fig. 1. Optical coherence tomogram of the retina of the right and left eyes.

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3. Fig. 2. Kinetic perimetry of the right and left eyes.

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4. Fig. 3. Static perimetry within 30° of the fixation point.

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5. Fig. 4. Kinetic perimetry of the right and left eyes 1 day after the initial examination.

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6. Fig. 5. Static perimetry within 30° from the fixation point 1 day after the initial examination.

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