A 25-year-old woman comes to the hospital for the evaluation of blindness in her right eye that suddenly started 1 hour ago. She has no feeling of pain, pressure, or sensation of a foreign body in the right eye. She has a history of major depressive disorder treated with fluoxetine. She does not use tobacco, alcohol, or illicit drugs. She appears anxious. Her vital signs are within normal limits. Ophthalmologic examination shows a normal-appearing eye with no redness. Slit-lamp examination and fundoscopy show no abnormalities. A visual field test shows nonspecific visual field defects. An MRI of the brain shows no abnormalities. Which of the following is the most likely diagnosis?

Question

A 25-year-old woman comes to the hospital for the evaluation of blindness in her right eye that suddenly started 1 hour ago. She has no feeling of pain, pressure, or sensation of a foreign body in the right eye. She has a history of major depressive disorder treated with fluoxetine. She does not use tobacco, alcohol, or illicit drugs. She appears anxious. Her vital signs are within normal limits. Ophthalmologic examination shows a normal-appearing eye with no redness. Slit-lamp examination and fundoscopy show no abnormalities. A visual field test shows nonspecific visual field defects. An MRI of the brain shows no abnormalities. Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: Conversion disorder is characterized by neurologic symptoms and examination findings that are incompatible with a known neurological disease.  Patients do not consciously produce the symptoms like in factitious disorder or malingering, and the condition may cause significant distress/impairment.

A 25-Year-Old Woman Comes to the Hospital for the Evaluation