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. 1989 Aug;73(8):651–654. doi: 10.1136/bjo.73.8.651

Assessment of visual function in suspected ocular malingering.

M Fahle 1, G Mohn 1
PMCID: PMC1041837  PMID: 2765446

Abstract

Three new techniques are presented for assessing visual acuity in the presence of suspected malingering. The first technique is based on the preferential looking method commonly used to test acuity in infants. The second uses polarising filters to present stimuli briefly to both eyes or to each eye alone, without the patient's being aware of which eye is tested. The third presents the stimuli on a computer monitor and separates the ray paths of the two eyes by means of special spectacles that obscure vision in one eye for fractions of a second while a stimulus is presented.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bumgartner J., Epstein C. M. Voluntary alteration of visual evoked potentials. Ann Neurol. 1982 Nov;12(5):475–478. doi: 10.1002/ana.410120511. [DOI] [PubMed] [Google Scholar]
  2. Kramer K. K., La Piana F. G., Appleton B. Ocular malingering and hysteria: diagnosis and management. Surv Ophthalmol. 1979 Sep-Oct;24(2):89–96. doi: 10.1016/0039-6257(79)90126-7. [DOI] [PubMed] [Google Scholar]
  3. McDonald M. A., Dobson V., Sebris S. L., Baitch L., Varner D., Teller D. Y. The acuity card procedure: a rapid test of infant acuity. Invest Ophthalmol Vis Sci. 1985 Aug;26(8):1158–1162. [PubMed] [Google Scholar]
  4. Miller B. W. A review of practical tests for ocular malingering and hysteria. Surv Ophthalmol. 1973 Jan-Feb;17(4):241–246. [PubMed] [Google Scholar]
  5. Mohn G., van Hof-van Duin J., Fetter W. P., de Groot L., Hage M. Acuity assessment of non-verbal infants and children: clinical experience with the acuity card procedure. Dev Med Child Neurol. 1988 Apr;30(2):232–244. doi: 10.1111/j.1469-8749.1988.tb04756.x. [DOI] [PubMed] [Google Scholar]
  6. Quam K. Ocular malingering. Am Orthopt J. 1974;24:73–76. [PubMed] [Google Scholar]
  7. Teller D. Y., Morse R., Borton R., Regal D. Visual acuity for vertical and diagonal gratings in human infants. Vision Res. 1974 Dec;14(12):1433–1439. doi: 10.1016/0042-6989(74)90018-2. [DOI] [PubMed] [Google Scholar]
  8. Thompson H. S. Functional visual loss. Am J Ophthalmol. 1985 Jul 15;100(1):209–213. doi: 10.1016/s0002-9394(14)75008-1. [DOI] [PubMed] [Google Scholar]

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