Functional vision disorders in adults: a paradigm and nomenclature shift for ophthalmology.
Functional vision disorder
SPIKES
functional neurologic disorder
functional visual loss
medically unexplained vision loss
non-organic vision loss
psychogenic vision loss
Journal
Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551
Informations de publication
Date de publication:
Historique:
received:
30
01
2021
revised:
02
03
2021
accepted:
08
03
2021
pubmed:
20
3
2021
medline:
31
3
2022
entrez:
19
3
2021
Statut:
ppublish
Résumé
Vision loss with clinical findings that are incompatible with the symptoms and recognized neurological or ophthalmic conditions is a common presentation of patients to neurologists, ophthalmologists, and neuro-ophthalmologists. The accepted terminology to describe such patients has evolved over time, including functional visual disorder (FVD), non-organic vision loss, non-physiologic vision loss, functional vision loss, psychogenic, psychosomatic, and medically unexplained visual loss. Likewise, attitudes and recommended management options have changed over the years in the fields of psychiatry and neurology. FVD is a diagnosis of inclusion, and it is critical that the diagnosis be made and delivered efficiently and effectively to reduce patient and physician duress. We review the current Diagnostic and Statistical Manual (DSM V) terminology and the prior literature on FVD and describe how the approaches to diagnosis and management have changed. We provide recommendations on the appropriate techniques and diagnostic approach for patients with FVD. We also propose a protocol for consistent and standardized discussion with the patient of the diagnosis of FVD. We believe that the adoption of FVD as both a paradigm and nomenclature shift in ophthalmology will improve patient care.
Identifiants
pubmed: 33737039
pii: S0039-6257(21)00075-8
doi: 10.1016/j.survophthal.2021.03.002
pmc: PMC9159904
mid: NIHMS1810647
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
8-18Subventions
Organisme : NEI NIH HHS
ID : P30 EY026877
Pays : United States
Informations de copyright
Copyright © 2021. Published by Elsevier Inc.
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