The second case is a 10-year-old girl who was referred from another center due to low vision without apparent organic cause.
The patient presented a report with a visual acuity of 0.01 in both eyes with a refraction under cycloplegic + 1.00.
All examinations were normal.
In the complementary tests presented visual evoked potentials (VEP), electroretinogram (ERG), fluorescein angiography (AFG), computed tomography (CT), magnetic resonance imaging (MRI) was not found either.
Suspected simulation, we delve into the family, school and social situation of the patient.
He was the youngest of four brothers, with a great difference in age, and in recent months he had begun to have a bad behavior, with low grades at school, difficulty in integration with his colleagues and fanaticism.
It was decided to test for confusion with lenses: a + 6.00 lens was placed in a test monk and then gradually neutralized with negative lenses.
Monocular VA was 0.8 and 0.6, respectively, and 0.8 in binocular vision.
Stereopsis values were normal, 40".
Parents spoke about the situation of the child and was referred back to their reference center for control and monitoring.
