儿童癔病性视力障碍是眼科急症之一。其发病有逐年增多趋势,引起家长及老师特别关注。1990年～1998年我们共收治32例儿童癔病性视力障碍,现分析如下。 对象与方法 一、对象 32例门诊病人,均为女孩,独生子女26例,年龄6岁～12岁。病程1小时～2天。询问病史:心理脆弱12例,情绪不稳4例,性格孤僻8例。无外伤及其他疾病史。病因:精神创伤史21例,其中受恐吓2例,父母训斥4例,受老师批评5例,与同学吵架6例,考试成绩差4例。无明显诱因11例。均做颅脑CT扫描无异常发现,神经科会诊排除颅内病变。双眼视力障碍20例,单眼12例。视力黑矇8例,眼前手动9例,1米以内指数11例,多视3例,复视1例。管状视野20例,行走时遇到障碍物能避开。眼部检查:瞳孔大小正常,对光反应良好,眼底正常。诊断:①有精神创伤史,做颅脑CT扫描无异 Hysteric eyesight disorder is one of the urgent eye diseases. Its incidence has increased year by year, causing special attention of parents and teachers. From 1990 to 1998, we treated a total of 32 cases of childhood hysteria visual impairment, are analyzed as follows. Subjects and methods First, the object 32 cases of outpatient patients, all girls, only child 26 cases, aged 6 to 12 years old. Course of 1 hour ~ 2 days. Ask the history: mental vulnerability in 12 cases, 4 cases of emotional instability, eccentric personality in 8 cases. No history of trauma and other illnesses. Etiology: history of trauma in 21 cases, of which 2 cases of intimidation, parents reprimand 4 cases, 5 cases of teacher criticism, 6 students quarrel with students, poor test results in 4 cases. No obvious incentive in 11 cases. No brain CT scan were found abnormalities, neurological consultation exclude intracranial lesions. 20 cases of binocular vision disorders, monocular 12 cases. Visual acuity in 8 cases, the immediate manual in 9 cases, 1 meter index in 11 cases, 3 cases of multi-view, diplopia in 1 case. Tubular field of vision in 20 cases, walking obstacles can be avoided. Eye examination: normal pupil size, good response to light, fundus normal. Diagnosis: ① history of trauma, brain CT scan is no different