Functional vision disorder: a review of diagnosis, management and costs

医学 验光服务 视力 视野 眼科
作者
Brendan Tao,Jim Shenchu Xie,Edward Margolin
出处
期刊:British Journal of Ophthalmology [BMJ]
卷期号:: bjo-324856
标识
DOI:10.1136/bjo-2023-324856
摘要

Functional vision disorder (FVD) is a relatively common diagnosis in ophthalmic practice which can be difficult to make because of clinician’s apprehension to miss organic pathology. We review the diagnostic approach to patients with FVD, organic mimics of FVD, its diagnostic and management strategies and associated cost burden. Patients with FVD typically present with visual acuity and/or field loss. Diagnostic work-up should include patient observation, detailed history, pupillary examination, dilated ophthalmoscopy, visual field testing and ganglion cell analysis of the macular complex. Most common organic mimickers of FVD are amblyopia, cortical blindness, retrobulbar optic neuritis, cone dystrophy and chiasmal tumours; however, all could be ruled out by structured diagnostic approach. For patients with unilateral visual loss, bottom-up refraction, fogging of the well-seeing eye in the phoropter, convex lens and base-down prism tests could aid in diagnosis. For patients claiming binocular vision loss, checking for eye movement during the mirror test or nystagmus elicited by an optokinetic drum can be helpful. Effective management of FVD involves reassurance, stress reduction and, if agreed on, management of comorbid anxiety and/or depression. The social cost of FVD is predominately economic as patients typically meet several healthcare providers over multiple visits and often undergo several neuroimaging studies before neuro-ophthalmology referral. Further, inappropriate granting of disability benefits confers additional stigma to patients with organic vision loss.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
科研大聪明完成签到 ,获得积分10
刚刚
DocZ完成签到,获得积分10
刚刚
脑洞疼应助糜灭龙采纳,获得10
2秒前
灵巧的煎饼完成签到,获得积分10
2秒前
青青完成签到 ,获得积分10
2秒前
云鹤完成签到 ,获得积分10
2秒前
4秒前
Orange应助谦让嵩采纳,获得10
5秒前
伶俐的可兰完成签到,获得积分10
6秒前
动人的从云完成签到 ,获得积分10
7秒前
xinxinsci发布了新的文献求助10
8秒前
ggb完成签到,获得积分10
8秒前
徐琦完成签到,获得积分10
8秒前
9秒前
七包辣条发布了新的文献求助10
9秒前
愉快凝梦完成签到 ,获得积分10
9秒前
bkagyin应助baibai采纳,获得10
10秒前
11秒前
13秒前
天真新儿发布了新的文献求助10
13秒前
xinxinsci完成签到,获得积分10
13秒前
doctorbin完成签到 ,获得积分10
13秒前
烛黎完成签到,获得积分10
14秒前
15秒前
Mr Fan发布了新的文献求助20
17秒前
shinysparrow应助南在南方采纳,获得50
17秒前
星辰大海应助自由的中蓝采纳,获得10
17秒前
xiu-er发布了新的文献求助10
18秒前
空禅yew完成签到,获得积分10
19秒前
kailinew应助xpz采纳,获得30
19秒前
19秒前
20秒前
包破茧完成签到,获得积分10
20秒前
21秒前
21秒前
zhoull发布了新的文献求助10
23秒前
24秒前
baibai发布了新的文献求助10
24秒前
nini发布了新的文献求助10
24秒前
雪山飞龙发布了新的文献求助10
27秒前
高分求助中
One Man Talking: Selected Essays of Shao Xunmei, 1929–1939 800
[Lambert-Eaton syndrome without calcium channel autoantibodies] 520
Active principle of croton oil. VII. Phorbol 500
The three stars each: the Astrolabes and related texts 500
Revolutions 400
Diffusion in Solids: Key Topics in Materials Science and Engineering 400
Phase Diagrams: Key Topics in Materials Science and Engineering 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2447161
求助须知:如何正确求助?哪些是违规求助? 2121964
关于积分的说明 5397266
捐赠科研通 1850648
什么是DOI,文献DOI怎么找? 920614
版权声明 562142
科研通“疑难数据库(出版商)”最低求助积分说明 492415