国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (6): 560-564.doi: 10.3760/ cma.j.issn.1673-5803.2021.06.018

• 综述 • 上一篇    

Munchausen综合征及其眼部表现

黎黎1  张真1  张悦1  李思敏1  赵凡宁2  孙旭光3   

  1. 1西安交通大学第一附属医院眼科 710061;2陕西省榆林市第四医院眼科 719000;3首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 100730

  • 收稿日期:2021-03-04 出版日期:2021-12-22 发布日期:2021-12-22
  • 通讯作者: 孙旭光,Email:sunxg1955@163.com

Munchausen syndrome and its eye manifestation

Li Li1,  Zhang Zhen1,  Zhang Yue1,  Li Simin1,  Zhao Fanning2,  Sun Xuguang3   

  1. 1 Department of Ophthalmology,  the First Affiliated Hospital of Xi’an Jiaotong University,  Xi’an 710061,  China; 2 Department of Ophthalmology, the Fourth Hospital of Yulin, Shaanxi 719000, China; 3 Beijing Institute of Ophthalmology,  Beijing Tongren Eye Center,  Beijing Tongren Hospital,  Capital Medical University,  Beijing 100730,  China

  • Received:2021-03-04 Online:2021-12-22 Published:2021-12-22
  • Contact: Sun Xuguang, Email: sunxg1955@163.com【

摘要: Munchausen综合征属于精神类疾病中人为障碍的一种,主要指患者通过模仿或制造躯体上的症状或体征,拟扮患者以寻求医疗帮助,并获得关注与安慰的症候群。眼部首发或者仅眼部组织受累的Munchausen综合征表现形式多样,如眼内异物、无原因眼痛、自发眼球脱臼、自伤致眼球破裂等,严重者可造成视力丧失、眼球摘除等不良结局。多数眼科医师对Munchausen综合征的认知度和警惕性较低,早期诊断和治疗存在较大挑战。(国际眼科纵览,2021,  45:560-564)

关键词: Munchausen综合征, 眼表现

Abstract: Munchausen syndrome,  a kind of factitious disorder,  belongs to mental illness. It mainly refers to the syndrome in which the patient,  by imitating or creating physical symptoms or signs,  pretends to be a sick personfor the purpose of seeking medical help and getting attention. Clinical presentation of Munchausen syndrome can start with ocular symptoms or only involve ocular tissue. The form is various,  such as intraocular foreign bodies,  ocular pain without causes,  spontaneous dislocated eyeball and rupture of eyeball caused by self-injury. In severe cases vision loss,  enucleation and other adverse outcomes can be caused. Most ophthalmic clinicians have low recognition and vigilance for Munchausen syndrome,  so there are great challenges in its early diagnosis and treatment. (Int Rev Ophthalmol,  2021,  45: 560-564)


Key words: Munchausen syndrome, eye manifestations