To the Editor.—
Only organic causes of micropsia are mentioned in Newell's1 textbook on ophthalmology. Merritt's2 book on neurology makes no mention of micropsia. I have discussed the psychopathology of psychogenic micropsia in several articles dealing with a few cases.3-5 The essential features involve its reflection of a sense of separation from people and environment with a concurrent need to maintain control in an effort to deal with anxiety, a sense of weakness, and insecurity that may be transitory or a general feature of personality functioning.3-5Recently I encountered descriptions of micropsia in fiction. Micropsia was mentioned as an actual altered visual perception or as an equivalent mental image denoting an awareness of such an occurrence. The basic aspect is seeing objects or people, small and off in the distance, often described also by patients as if one were "looking through the wrong end of a
Schneck JM. Psychogenic Micropsia in Fact and Fiction. JAMA. 1984;251(18):2350. doi:10.1001/jama.1984.03340420022019
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