关键词: Mental illness Ocular findings Ophthalmological manifestations Psychiatric Disorders Substance use

Mesh : Humans Ophthalmology Mental Disorders / diagnosis therapy psychology Psychiatry / methods Eye Diseases / diagnosis therapy Psychotropic Drugs / adverse effects Referral and Consultation

来  源:   DOI:10.24869/psyd.2023.163

Abstract:
Consultation Liaison Psychiatry (CLP) deals with the interface shared between psychiatry and various other disciplines of medicine. The interface shared by psychiatry and ophthalmology is among the lesser discussed ones in the field of CLP, despite the fact that it holds clinical relevance in the evaluation, management and outcomes of both psychiatric and ophthalmological disorders. This narrative review focusses on the ophthalmological aspects of psychiatric disorders, with respect to their manifestations, assessment, and management. Psychiatric disorders, including schizophrenia, affective disorders, \'functional\' disorders, and substance use disorders, have numerous ophthalmic manifestations, which can have clinical implications for the patients. Even the psychotropic drugs given for psychiatric disorders can lead to side effects affecting the eye, but these are among the lesser-discussed side effects. Some psychiatric disorders can be investigated using various ophthalmic functions, the assessments ranging from simple physical examination to the use of instruments like a fundoscope, which can be useful for a psychiatrist in their routine practice. Lastly, eye functions can also be used in the treatment of psychiatric conditions, as is seen in eye movement desensitization and reprocessing. This review reiterates the fact that more attention needs to be given to the field of \'psycho-ophthalmology\', which holds great promise in the coming days.
摘要:
咨询联络精神病学(CLP)处理精神病学与其他各种医学学科之间共享的接口。精神病学和眼科共享的接口是CLP领域中讨论较少的接口之一,尽管它在评估中具有临床相关性,精神和眼科疾病的治疗和结果。这篇叙述性综述集中在精神疾病的眼科方面,关于它们的表现,评估,和管理。精神病,包括精神分裂症,情感障碍,\'功能性\'障碍,和物质使用障碍,有许多眼科表现,这可能对患者有临床意义。即使是治疗精神疾病的精神药物也会导致影响眼睛的副作用,但这些是较少讨论的副作用。可以使用各种眼科功能来研究一些精神疾病,评估范围从简单的身体检查到使用诸如眼底镜之类的仪器,这对精神病医生的日常实践很有用。最后,眼睛功能也可用于治疗精神疾病,如在眼动脱敏和再处理中所见。这篇评论重申了这样一个事实,即需要对“心理眼科”领域给予更多关注,在未来的日子里有很大的希望。
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