Core tip: Hysterical eye disease in children is a kind of mental disorder closely related to psychological factors, mostly occurring in rural and rural primary and secondary school students with relatively lagging economic and cultural development. Because children and adolescents are a special group of people who are in the stage of comprehensive physical, mental, physical, and intellectual growth, their personality is not yet mature, and their psychological ability to withstand various external things is poor, so when stress factors suddenly appear, they are particularly susceptible to the influence of external adverse stimuli or suggestive effects and the onset of the disease. Typical case: Zhu Xiaobo, an elementary school student from Jiangxi, lost the sight of his two eyes in just ten months. His grandfather back home took him to many local hospitals for examination, but could not find any reason. Xiaobo’s father has been working in Fenghua, China for many years. Recently, his worried father took the opportunity of his child’s vacation to accompany him to the eye center of Ningbo Sixth Hospital for consultation. After treatment at the Sixth Hospital Eye Center, the child’s vision reached 1.2 in both eyes, and the parents’ hearts finally fell to the ground. Zhu Xiaobo’s parents went out to work soon after his birth, and have been working in a company in Fenghua, China, so it is rare for his parents to return home once a year to visit him. Bo was brought up by his elderly grandparents, lacking parental care since childhood. The good thing is that the introverted child is very understanding, study very hard, academic performance is also very good, the parents are also very relieved to stay at home children. One day ten months ago, the grandfather suddenly called from home, saying that the child’s eyes were blind, the mother rushed to home, took the child to the hospital ophthalmology, the local doctor for the child with a pair of 100 degrees of myopic glasses, vision has improved. The mother did not want to return to Fenghua for less than a week, the phone call from home again, saying that the child’s eyes were blind again, this time even school difficulties. In this way, for more than half a year, the grandfather took the child to the local provincial ophthalmology hospitals, did a lot of tests, ate a lot of drugs, but no improvement, the vision of both eyes dropped to 0.12, the field of vision has become tubular. After Zhu Xiaobo came to Ningbo Sixth Hospital Eye Center, Dr. Yuan Jianshu, the chief physician in charge, opened a thick stack of medical records and checklists brought by the child’s parents, and made a careful examination, and found that the patient had no other abnormalities besides decreased visual acuity and visual field defects. He was admitted to the hospital that day for observation. After hospitalization, the child appeared to be particularly lively and happy under the careful care of his parents, and was particularly cooperative with the doctor’s examination. Surprisingly, after the kind and careful inquiry and examination by the resident doctor, Bo’s eyes saw that afternoon and his visual acuity reached 1.0, and his visual field returned to normal. The parents were surprised and delighted to see their child’s vision miraculously restored, and the family looked especially happy. The fourth day after hospitalization was the day Bo was discharged from the hospital, something unexpected happened again: when Bo heard that he was going to be discharged the next day, he found that his eyes could not see again that night, and the doctor on duty immediately checked, and his vision dropped to 0.6. The next day the doctor went through repeated suggestive treatment, gave Bo psychological support and psychological guidance, and his vision returned to normal. Expert analysis: Bo was suffering from a typical hysterical cortical blindness. In fact, he is not a real eye disease, but a psychological defect, the so-called childhood hysteria. Patients with hysteria do not have organic lesions. Although they do show symptoms, the examination will still show that they are normal. Hysterical patients are not liars because they really feel that way; nor are they psychopaths because they think clearly and logically. Dr. Yuan’s analysis suggests that the increase in dysthymia among children today is not uncommon in ophthalmology clinics and is related to the increased opportunity for patients to receive adverse stimuli. Especially with the development of society and changes in the family and social environment, various psychological disorders are increasing and developing at a younger age, with a variety of manifestations, and in the case of children, many manifest as self-storming blindness (sudden blindness, loss of vision or other eye diseases, etc.). As we can see from the onset of Xiaobo, due to the long-term lack of parental communication and attention around this child, the lack of psychological care for children, often extremely unstable emotions, and more than reason; self-centered, like to be noticed by people; fantasy is rich, exaggerated words and actions; so long-term, resulting in a personality susceptible to suggestion. In particular, after Bo went to school, his eyesight fluctuated due to excessive reading, but the school and family did not pay attention to the child, and failed to provide timely treatment, so the child brought the possibility of “blindness” and nervousness and fear, and constantly implied to himself “I’m going blind! “As a result, he became blind. The clinical evidence shows that hysterical patients’ reaction to the outside world is the result of direct influence by suggestion. In this regard, psychological treatment of hysterical eye disease has very important significance. In the treatment, both he-suggestion and self-suggestion are applied. This means that the physician suggests an idea to the patient, so that this idea acts in the patient’s emotion, will and. For example, in the treatment of a patient with hysterical cortical blindness, the doctor says, “See!” so that the patient produces a visual effect after the acupuncture. Self-suggestion, on the other hand, is the suggestion of oneself. Suggestion is an inherent skill of human mental activity, and people are under the influence and domination of various kinds of suggestion at any time. Therefore, the occurrence and development of hysterical eye disease is often seen to be directly related to suggestion. Suggestion is also the most effective treatment method for hysterical patients who develop hysteria because of suggestion. Give the patient psychological support and carry out psychological guidance in order to completely solve the problem. For people with hysterical personality traits, telling yourself “be strong and don’t be afraid” can reduce the chances of hysteria. In today’s society, the competition of society has spread to children, due to the stress of study, the lack of family proximity, bad environmental stimulation, etc., undoubtedly caused great mental pressure and bad psychological state to the majority of children, therefore, society, schools and families pay attention to the mental and psychological health of young people, more to give children to affirmative, confident language stimulation, so that children always maintain a good personality cheerful It is especially important to maintain a good mental state.