Familial Background Factors And Their Association With Non-Organic Visual Loss

Misuzu Takahashi,1 Hiroshi Kunikata,2,3 Keiichi Kato,1 Ayako Kawakami,1 Toru Nakazawa2–5 1Kato Eye Clinic, Taiwa-cho, Japan; 2Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan; 3Department of Retinal Disease Control, Tohoku University Graduate School...

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Autores principales:	Takahashi M, Kunikata H, Kato K, Kawakami A, Nakazawa T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	psychogenic visual disturbance hysterical visual loss functional visual loss visual acuity mother Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7969a8a5017d46749904d7fb2d93b292
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spelling	oai:doaj.org-article:7969a8a5017d46749904d7fb2d93b2922021-12-02T03:18:48ZFamilial Background Factors And Their Association With Non-Organic Visual Loss1177-5483https://doaj.org/article/7969a8a5017d46749904d7fb2d93b2922019-10-01T00:00:00Zhttps://www.dovepress.com/familial-background-factors-and-their-association-with-non-organic-vis-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Misuzu Takahashi,1 Hiroshi Kunikata,2,3 Keiichi Kato,1 Ayako Kawakami,1 Toru Nakazawa2–5 1Kato Eye Clinic, Taiwa-cho, Japan; 2Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan; 3Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai, Japan; 4Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan; 5Department of Ophthalmic Imaging and Information Analytics, Tohoku University Graduate School of Medicine, Sendai, JapanCorrespondence: Keiichi Kato Kato Eye Clinic 2-8-10, Yoshioka-Higashi, Taiwa-cho, Kurokawa-gun, Miyagi 981-3627, JapanTel +81 22 347 1682Fax +81 22 347 1683Email eye@kato-ganka.comPurpose: To identify new types of clinical findings that could be used to diagnose and treat non-organic visual loss (NOVL).Methods: This study retrospectively examined the records of 191 patients diagnosed with NOVL at the Kato Eye Clinic. Clinical characteristics, including uncorrected visual acuity (UCVA) and complaints of vision loss, were compared in 125 of 191 patients with NOVL and control subjects with organic refractive errors, identified during annual school health checks. If available, familial background data for the NOVL patients were compared with data from a mass population study. Familial background data included the presence of siblings, and whether the mother worked outside the home.Results: Patients with NOVL were more likely to be younger and female (P=0.02, and P<0.001, respectively). UCVA was statistically similar in the better eyes of the NOVL and control subjects (P=0.60), even though the NOVL patients were much more likely to be emmetropic (P<0.001). Complaints of vision loss were significantly more common in the patients with NOVL than in the control subjects (P=0.001). There was no significant difference in the presence of siblings between the subjects in the mass population study and the patients with NOVL (P=0.38), but the NOVL patients were significantly more likely to have a mother who did not work outside the home (P=0.01).Conclusion: Patients with NOVL tended to be younger, female and to complain more often of vision loss, compared to control subjects with organic refractive errors. Familial background factors, including the presence of siblings or a mother working outside the home, seemed not to be associated with the pathogenesis of NOVL, compared to subjects in a mass population study.Keywords: psychogenic visual disturbance, hysterical visual loss, functional visual loss, visual acuity, motherTakahashi MKunikata HKato KKawakami ANakazawa TDove Medical Pressarticlepsychogenic visual disturbancehysterical visual lossfunctional visual lossvisual acuitymotherOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2059-2061 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	psychogenic visual disturbance hysterical visual loss functional visual loss visual acuity mother Ophthalmology RE1-994
spellingShingle	psychogenic visual disturbance hysterical visual loss functional visual loss visual acuity mother Ophthalmology RE1-994 Takahashi M Kunikata H Kato K Kawakami A Nakazawa T Familial Background Factors And Their Association With Non-Organic Visual Loss
description	Misuzu Takahashi,1 Hiroshi Kunikata,2,3 Keiichi Kato,1 Ayako Kawakami,1 Toru Nakazawa2–5 1Kato Eye Clinic, Taiwa-cho, Japan; 2Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan; 3Department of Retinal Disease Control, Tohoku University Graduate School of Medicine, Sendai, Japan; 4Department of Advanced Ophthalmic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan; 5Department of Ophthalmic Imaging and Information Analytics, Tohoku University Graduate School of Medicine, Sendai, JapanCorrespondence: Keiichi Kato Kato Eye Clinic 2-8-10, Yoshioka-Higashi, Taiwa-cho, Kurokawa-gun, Miyagi 981-3627, JapanTel +81 22 347 1682Fax +81 22 347 1683Email eye@kato-ganka.comPurpose: To identify new types of clinical findings that could be used to diagnose and treat non-organic visual loss (NOVL).Methods: This study retrospectively examined the records of 191 patients diagnosed with NOVL at the Kato Eye Clinic. Clinical characteristics, including uncorrected visual acuity (UCVA) and complaints of vision loss, were compared in 125 of 191 patients with NOVL and control subjects with organic refractive errors, identified during annual school health checks. If available, familial background data for the NOVL patients were compared with data from a mass population study. Familial background data included the presence of siblings, and whether the mother worked outside the home.Results: Patients with NOVL were more likely to be younger and female (P=0.02, and P<0.001, respectively). UCVA was statistically similar in the better eyes of the NOVL and control subjects (P=0.60), even though the NOVL patients were much more likely to be emmetropic (P<0.001). Complaints of vision loss were significantly more common in the patients with NOVL than in the control subjects (P=0.001). There was no significant difference in the presence of siblings between the subjects in the mass population study and the patients with NOVL (P=0.38), but the NOVL patients were significantly more likely to have a mother who did not work outside the home (P=0.01).Conclusion: Patients with NOVL tended to be younger, female and to complain more often of vision loss, compared to control subjects with organic refractive errors. Familial background factors, including the presence of siblings or a mother working outside the home, seemed not to be associated with the pathogenesis of NOVL, compared to subjects in a mass population study.Keywords: psychogenic visual disturbance, hysterical visual loss, functional visual loss, visual acuity, mother
format	article
author	Takahashi M Kunikata H Kato K Kawakami A Nakazawa T
author_facet	Takahashi M Kunikata H Kato K Kawakami A Nakazawa T
author_sort	Takahashi M
title	Familial Background Factors And Their Association With Non-Organic Visual Loss
title_short	Familial Background Factors And Their Association With Non-Organic Visual Loss
title_full	Familial Background Factors And Their Association With Non-Organic Visual Loss
title_fullStr	Familial Background Factors And Their Association With Non-Organic Visual Loss
title_full_unstemmed	Familial Background Factors And Their Association With Non-Organic Visual Loss
title_sort	familial background factors and their association with non-organic visual loss
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/7969a8a5017d46749904d7fb2d93b292
work_keys_str_mv	AT takahashim familialbackgroundfactorsandtheirassociationwithnonorganicvisualloss AT kunikatah familialbackgroundfactorsandtheirassociationwithnonorganicvisualloss AT katok familialbackgroundfactorsandtheirassociationwithnonorganicvisualloss AT kawakamia familialbackgroundfactorsandtheirassociationwithnonorganicvisualloss AT nakazawat familialbackgroundfactorsandtheirassociationwithnonorganicvisualloss
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Familial Background Factors And Their Association With Non-Organic Visual Loss

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