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Seven cases of the California syndrome Tohru Kimura 1 , Tetsuro Takeda 1 , Satoshi Maeda 1 , Kaku Kimura 1 , Mitsunobu Yokoyama 1 , Keisuke Shoge 2 , Wataru Kimura 1 , Satoshi Kitani 3 1Kimura Eye & lnt Med Hosp 2Yakeyama Kimura Eye Clin 3Kitani Eye Clin pp.1491-1496
Published Date 2012/10/15
DOI https://doi.org/10.11477/mf.1410104392
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Abstract. Purpose:To report 7 cases of ocular compensation neurosis, or so-called“the California syndrome”. Cases:This retrospective study was made on 7 cases of the California syndrome seen during the past 12 years. The series comprised 3 males and 4 females. The age ranged from 30 to 55 years, average 39 years. Six cases complained of impaired visual function following traffic accident. Cases were followed up for one to 54 months. Findings:Five cases were bilaterally and two were unilaterally affected. Visual impairment was severe in 10 eyes of 6 cases. Visual impairment was noted one week or later after accident. All the cases showed normal light reflex. Progression or fluctuations were present regarding visual acuity, visual field, eye position, or ocular motility. Six cases were cooperative to clinical examinations. Compensation for traffic accident or labour one was still undecided in all the cases. Conclusion:Diagnosis of the California syndrome may be made in the presence of normal light reflex, time of onset of subjective complaints after trauma, fluctuation of symptoms, and cooperativity to clinical examinations.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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