{
  "abstract": "The following case series reflects unusual cases presenting with concerning symptoms yet all ultimately found to be functional neurological disorder (FND).5 yrs (F) presenting with 1 month history of esotropia diplopia, headache and episode of vasovagal syncope. Marked ET with full lateral rectus function and no refractive error. MRI clear. Planos issued for PAT however squint resolved with planos.8 yrs (M) old presenting with 1 month history of strabismus, diplopia and episodes of ‘black vision’. Variable esotropia noted with full abduction. MRI clear. functional diagnosis was made and psychological support initiated. Fully resolved following psychological input.6 yrs (M) old presenting with 2-week history of strabismus, diplopia, ‘blue’ vision and pain. Variable strabismus and acuity with full abduction. MRI clear. Diplopia persisted so treated with Botox. near reflex spasm persisted. Symptoms resolved following psychology and family bereavement support.7 Yrs (M) old presenting with 6-week history of reduced vision, nystagmus and headaches. Ocular flutter only noted without glasses on. MRI clear. Diagnosed with FND. Symptoms significantly improved following psychology support.Children presenting acutely with signs and symptoms indicative of optic neuritis or space occupying lesions cause concern for orthoptic/ophthalmology staff. These cases had red flag signs and therefore underwent MRI scans -all NAD. All resolved with placebo treatment and psychology support. This series reflects an unusually young group with distinct repeatable signs/symptoms. This highlights the need to consider FND in all age groups and the value of psychology pathways for ophthalmology clinics.",
  "authors": [
    {
      "affiliations": [
        "Leeds Teaching Hospital Trust, UK"
      ],
      "name": "Melissa Duffy"
    },
    {
      "affiliations": [
        "Leeds Teaching Hospital Trust, UK"
      ],
      "name": "Danielle Guy"
    },
    {
      "affiliations": [
        "Leeds Teaching Hospital Trust, UK"
      ],
      "name": "Janice Hoole"
    }
  ],
  "title": "130252 Orthoptic functional presentations in young children: a case series",
  "uid": "d8b6e430-8c1f-547d-b7e6-344ae2c10915"
}