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June 1941


Arch Ophthalmol. 1941;25(6):1038-1049. doi:10.1001/archopht.1941.00870120120012

The sudden emergency which has resulted in a history-making peace time conscription in the United States stimulated the need of a review of tests for disclosing simulated blindness, which will undoubtedly arise among the draftees. Malingerers pretending blindness can be divided into two general groups : (a) those who are clever and study the available and well known tests prior to being examined and (b) those who desire to magnify a defect but are too naive to deceive a conscientious examiner for any length of time.

A thorough clinical study of the eyes, including a retinoscopic examination, must be conducted to prove the absence of a significant organic lesion. The patient should be given every consideration, should be listened to sympathetically and should not be allowed to entertain any idea that he is under suspicion. He may be overconfident and overanxious to cooperate. Leading questions are the order of the day.

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