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In this issue of eye Insights, we take a close look at nonorganic vision loss(NVL). Inside, you’ll find techniques and tips for evaluating and managingpatients with NVL. Inside Message From the Editor-in-Chief Prevalence and Risk Factors Techniques For Evaluating Patients Tests for Visual Field Loss...

Leveraging Big Data to Improve Patient Care Exciting advances in artificial intelligence and big data have the potential to transform patient care, and Harvard Ophthalmology is leading the way. In 2020, the department established the Clinical Data Science Institute, which leverages big data to build...

Nonorganic Vision Loss (NVL) is established by the following: Demonstrating features of vision loss incompatible with organic disease Demonstrating that vision is better than reported A history that does not comport well with the natural history of pathophysiologic processes or dysfunction not...

Launched in the summer of 2021, the Harvard Ophthalmology Research Scholars Program offers first-year medical students from underrepresented and disadvantaged groups an immersive eight-week experience in opthalmology at Mass Eye and Ear and Schepens Eye Research Institute of Mass Eye and Ear...

Emphasize the positive: Establish a therapeutic relationship with the patient where the positive aspects of the encounter are emphasized. For example, reassure patients that the eye and central nervous system are not damaged, rather than using phrases like “there is nothing wrong,” which can seem...

What is Nonorganic Vision Loss? Nonorganic vision loss (NVL)—previously known as functional or hysterical vision loss—is subjective vision loss that does not comport with a recognized pathologic process. Prevalence Some reports suggest that approximately 10% of neuroophthalmic patients may have NVL...

Tests for Bilateral Vision Loss Optokinetic response: Eliciting an optokinetic response is helpful if the reported visual acuity (VA) loss is severe and binocular. Optokinetic nystagmus is difficult to suppress and requires a VA of at least 20/400 in one eye. Navigating skills: When very poor VA is...

Dear Colleagues, In this issue of eye Insights, we take a close look at nonorganic vision loss (NVL). Inside, you’ll find techniques and tips for evaluating and managing patients with NVL. It can be challenging and extremely time consuming to prove that a patient’s visual acuity potential is better...