A Comprehensive Review of Functional Vision Loss.

Background: Functional vision loss (FVL) is a broad term referring to loss of vision or visual field due to a non-organic etiology. This case report presents a comprehensive review of forms of FVL including etiology, presentation, clinical findings, and treatment options. In addition, it proposes ho...

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Publicado en:Optometry & Visual Performance Vol. 9; no. 1; pp. 46 - 55
Autores principales: Polacco, Amanda M., Mozlin, Rochelle
Formato: case study diagnostic images review tables/charts Journal Article
Publicado: Optometric Extension Program Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: A Comprehensive Review of Functional Vision Loss.
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        au:
          Polacco, Amanda M.
          Mozlin, Rochelle
        affil: SUNY College of Optometry, New York, New York
      sug:
        subj:
          Vision Disorders
          Female
          Adolescence
          Visual Acuity
          Vision Disorders Etiology
          Vision Disorders Physiopathology
          Vision Disorders Diagnosis
          Vision Disorders Therapy
          Adolescent: 13-18 years
          Female
      ab: Background: Functional vision loss (FVL) is a broad term referring to loss of vision or visual field due to a non-organic etiology. This case report presents a comprehensive review of forms of FVL including etiology, presentation, clinical findings, and treatment options. In addition, it proposes how to thoroughly differentiate concomitant ocular disease. Case Report: A fourteen-year-old Caucasian female presented for evaluation of worsening blurred vision at all distances that started a few months prior to examination. There was minimal visual improvement through spectacle correction. Thorough ocular examination of the anterior and posterior segments yielded no ocular pathology to correlate to the reduction in vision. Baseline imaging of the optic nerve and macula were performed to ensure that anatomical structures were intact. Baseline visual fields revealed nonspecific scattered defects. Visual evoked potential (VEP) testing was normal and suggested intact neural pathways with vision of 20/20 in each eye. Bilateral visual loss in the presence of normal VEPs is confirmation of functional vision loss. Conclusions: Each condition classified under FVL overlaps in clinical presentation. Ultimately, it is crucial for clinicians to recognize FVL and provide patients with the referrals necessary.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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