Clinical Case Database / Category: Patient Management
An ethical dilemma in ophthalmology understanding the patient's agenda
Publication details
Gwyn Samuel Williams, MRCS (Eng), DOHNS, Mahmoud Radwan, MBBS, Raghu Ram, FRCOphth
Foundation Years Journal, volume 6, issue 10, p.22 (123Doc Education, London, November 2012)
Abstract
We present the case of a young woman presenting with retrobulbar neuritis in which the disease course becomes increasingly bizarre until it is realised that the correct diagnosis is that of malingering. We discuss the pitfalls in diagnosing and treating retrobulbar neuritis generally, as well as the medico-legal minefield of non-organic visual loss. Some tests for diagnosing non-organic visual loss are discussed as well as the importance of remaining professionally detached in these and other similar cases in which the patient's actions can have profound effects on our emotions.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Gwyn Samuel Williams, MRCS (Eng), DOHNS
ST4 Ophthalmology
Department of Ophthalmology
Royal Glamorgan Hospital
Ynysmaerdy
Llantrisant
Wales
CF72 8XR
gwynwilliams@doctors.org.uk
Mahmoud Radwan, MBBS
ST2 Ophthalmology
Raghu Ram, FRCOphth
Consultant Ophthalmologist
References
-
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.