Simulación en oftalmología

Simulación en oftalmología secundaria a desprendimiento de retina crónico

“…En los niños, sin embargo, la etiopatogenia es diferente y el pronóstico suele ser más favorable, aunque un alto porcentaje (hasta un 20%) puede presentar psicopatología asociada [1][2][3][4] .…”

“…La sospecha de PVNO surge ante una exploración rigurosamente normal y la presencia de sintomatología incongruente a la que no se encuentra una base orgánica responsable [1][2][3][4] . En este caso la enfermedad responsable existía ya que el paciente presentaba un DR en su OI, sin embargo se trataba de una enfermedad imputada, es decir una enfermedad real pero de origen falso, ya que las características del DR eran de un proceso crónico y no agudo como refería el paciente.…”

Simulation in ophthalmology secondary to an chronic retinal detachment

“…NOVL is suspected during normal basic ophthalmological assessment in the presence of inconsistent ocular symptoms. 1,2 Adults can deliberately simulate ocular symptoms in order to obtain some type of benefit or as the result of a psychiatric disease as established in CIE 10 (F44 dissociative conversion disorder) as well as in DSM IVR (fictitious disorders). 1,2 However, in children, etiopathogeny is different and prognostic is generally more positive although a high percentage (up to 20%) could exhibit associated psychopathologies.…”

“…1,2 Adults can deliberately simulate ocular symptoms in order to obtain some type of benefit or as the result of a psychiatric disease as established in CIE 10 (F44 dissociative conversion disorder) as well as in DSM IVR (fictitious disorders). 1,2 However, in children, etiopathogeny is different and prognostic is generally more positive although a high percentage (up to 20%) could exhibit associated psychopathologies. [1][2][3][4] A male patient, 35, construction worker, visited the Emergency section due to reduced vision in left eye (LE) secondary to frontal traumatism at work with loss of consciousness for several seconds 2 h earlier.…”

“…1,2 However, in children, etiopathogeny is different and prognostic is generally more positive although a high percentage (up to 20%) could exhibit associated psychopathologies. [1][2][3][4] A male patient, 35, construction worker, visited the Emergency section due to reduced vision in left eye (LE) secondary to frontal traumatism at work with loss of consciousness for several seconds 2 h earlier. He did not refer personal or familial relevant history or known allergy to drugs.…”