Multimodal strategic approach in the clinical assessment of malingering – keeping an eye on truth!!!
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2018, Vol 4, Issue 4
Abstract
Purpose To evaluate patients who present with ophthalmic problems with no discernible organic cause and detect malingering in such casesMaterials and Methods 175 patients reporting to the Ophthalmology outpatient department from January 2017 to January 2018 were included Patients were examined by various tests in order to document the proof for the reported visual loss Objective prism tests Special test cards Visually evoked potential Electroretinogram Visual field analysis various non visual tasks Stereopsis testing Refraction and behavior of the patient with the clinician were assessed Data collected and analysed with descriptive statisticsResults In 175 patients examined 92 patients 526 were proved to be malingering by above mentioned tests which is statistically significantConclusion Ocular malingering should be suspected when even with the most thorough ocular examination does not reveal a plausible cause for the reported visual loss and exposes the deception behind claims of visual loss in malingerersKeywords Ocular malingering Functional visual loss Disability certificate
Authors and Affiliations
Tanushree V, Vinuta Mohan Kulkarni, Subramanya Kota, Bhavya Reddy
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