Table 2.
Presentation, management and outcomes of functional visual symptoms
| n | Mean (SD) | Median (IQR) | |
|---|---|---|---|
| What % of new referrals to clinic has functional visual symptoms? | 114 | 2.9 (2.9) | 2 (1–5) |
| What % of patients with functional visual symptoms has bilateral symptoms? | 112 | 43.2 (31.7) | 50 (10–70) |
| How many appointments will a patient with functional visual symptoms typically have? | 116 | 3.9 (1.8) | 3 (3–5) |
| What % of ADULTS with functional visual symptoms will you follow up after diagnosis? | 114 | 31.0 (37.0) | 10 (0–50) |
| What % of CHILDREN with functional visual symptoms will you follow up after diagnosis? | 112 | 52.7 (42.4) | 50 (1–100) |
| What % of patients with functional visual symptoms gets better? | 108 | 61.9 (30.5) | 70 (50–90) |
| What is the most common presentation of functional visual symptom? | n | % | |
| Reduced vision | 79 | 67.5 | |
| Visual field loss | 5 | 4.3 | |
| Combined reduced vision and visual field loss | 31 | 26.5 | |
| Visual snow or “static” | 1 | 0.9 | |
| Diplopia | 1 | 0.9 | |
| Photophobia | 1 | 0.9 | |
| How impaired by their symptoms are patients with functional visual symptoms? | |||
| No impairment | 5 | 4.3 | |
| Mild impairment | 30 | 25.6 | |
| Moderate impairment | 49 | 41.9 | |
| Severe impairment | 29 | 24.8 | |
| Extreme impairment | 5 | 4.3 | |
| What investigations do you usually perform for patients with functional visual symptoms? | |||
| Humphrey visual field test | 89 | 22.6 | |
| Goldmann visual field test | 40 | 10.2 | |
| Neuroimaging | 75 | 19.1 | |
| Electrodiagnostics | 68 | 17.3 | |
| Optical coherence tomography | 97 | 24.7 | |
| Fundus fluorescein angiogram | 9 | 2.3 | |
| Other | 19 | 4.8 | |
| Do patients you see with functional visual symptoms usually have other functional symptoms? | |||
| Yes | 30 | 25.9 | |
| No | 49 | 42.2 | |
| Do not know | 38 | 32.8 | |
| What management plan do you typically make for patients with functional visual symptoms? | |||
| Discharge to GP | 33 | 28.2 | |
| Follow-up in clinic | 51 | 43.6 | |
| Refer to psychological or psychiatric services | 20 | 17.1 | |
| Refer to neurology | 14 | 12.0 | |
| Interquartile range (IQR), standard deviation (SD), general practitioner (GP), percentage (%) | |||