Psychiatria Danubina, Vol. 35 No. 2, 2023.
Review article
https://doi.org/10.24869/psyd.2023.163
THE CURIOUS CASE OF ‘PSYCHO-OPHTHALMOLOGY’: A NARRATIVE REVIEW OF OPHTHALMOLOGICAL ASPECTS OF PSYCHIATRIC DISORDERS
Harkishan Mamtani
orcid.org/0000-0001-6932-3834
; Postdoctoral Fellow in Neuropsychiatry, Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India- 560029
Nidhi Mamtani
; Glaucoma Fellow, Department of Ophthalmology, Sankara Nethralaya, Chennai, India- 600006
Santosh K Chaturvedi
; Consultant Psychiatrist, Former Dean and Senior Professor, Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India- 560029
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.
Keywords
Ophthalmological manifestations; Ocular findings; Mental illness; Psychiatric Disorders; Substance use
Hrčak ID:
306939
URI
Publication date:
17.7.2023.
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