Dergi Ara >>
Yıl:2005; Cilt: 13; Sayı: 1>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2005;13(1):55-59
Oküler yakınmayla başvuran psikiyatrik hasta
FV Yüksel, E Göka, Ş Göka
Ankara Numune Eğit. ve Araş. Hastanesi , Ankara
Psikiyatristler ve oftalmologlar birçok hastalığın tanı ve tedavisinde birlikte çalışırlar. Psikiyatristler psikiyatrik hastaların oküler belirtileriyle, psikiyatrik ilaçların oküler yan etkileriyle ve oftalmolojik hastanın psikiyatrik şikayetleriyle sıklıkla karşılaşırlar. Oftalmologlar da oküler şikayetleri olan psikiyatrik hastaların organik etiolojilerinin ortaya çıkartılmasında veya ekarte edilmesinde ve psikiyatrik şikayetleri olan oftalmolojik hastaların psikiyatriye yönlendirilmesinde yardımcı olurlar. Psikiyatrik hastanın oküler belirtilerini "hiç görememe veya az görme, fazladan görme (görsel halüsinasyon) ve yanılsama (illüzyon)" şeklinde sınıflandırabiliriz. Hiç görememe veya az görme Somatoform Bozukluklarda (Konversiyon Bozukluğu, Somatizasyon Bozukluğu), Yapay Bozuklukta ve Simülasyonda görülebilir. Görsel hallüsinasyonlara ise Psikotik Bozukluklarda, Manide, Depresyonda, Deliryumda ve Alkol ve Madde Kullanımı İle İlişkili Bozukluklarda karşılaşılır. İllüzyonlar da sıklıkla Deliryumda ortaya çıkar
Psychiatric patient applying with ocular complaint
Psychiatrists and ophthalmologists work together in diagnosis and management of many disorders. Psychiatrists, frequently meet with ocular signs of psychiatric disorders, ocular side effects of psychiatric drugs and psychiatric complaints of ophthalmologic patients. Also ophthalmologists, help to find or exclude organic etiologies of psychiatric patients with ocular complaints and to direct ophthalmologic patients with psychiatric complaints to psychiatry. We can classify the ocular signs of psychiatric patients like "vision loss or seeing less, seeing more (visual hallucinations) and illusions". Vision loss or seeing less is seen in Somatoform Disorders (Conversion Disorder, Somatization Disorder), Factitious Disorder and Simulation. Visual hallucinations are seen in Psychotic Disorders, Mania, Depression, Delirium and Alcohol and Substance Related Disorders. Illusions are frequently seen in Delirium.

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