Patients can present themselves in an optometrist's office and report diplopia, tunnel vision, blindness, decreased acuity and other visual and ocular anomalies. It is the optometrist's job to separate the true visual conditions with an underlying organic or visual cause from a psychological cause. Ocular malingering, hysterical amblyopia, Streff syndrome, psychological blindness, and psychosomatic ophthalmology will be presented. This literature review will serve as a guide to rule out visual anomalies of an organic cause or psychological cause and offer management and treatment options.
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