Munchausen综合征及其眼部表现  

Munchausen syndrome and its eye manifestation

作　　者：黎黎[1] 张真 张悦[1] 李思敏 赵凡宁 孙旭光 Li Li;Zhang Zhen;Zhang Yue;Li Simin;Zhao Fanning;Sun Xuguang(Department of Ophthalmology,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of Ophthalmology,the Fourth Hospital of Yulin,Shaanxi 719000,China;Beijing Institute of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[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

出　　处：《国际眼科纵览》2021年第6期560-564,共5页International Review of Ophthalmology

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。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.

关 键 词：Munchausen综合征 眼表现 

分 类 号：R749[医药卫生—神经病学与精神病学] R771.3[医药卫生—临床医学]