A 20-year-old woman complained of decreased visual acuity in her left
eye and diplopia. She had visited several hospitals previously. On exa
mination, her left visual acuity varied, and her squint angle also cha
nged. No organic disorders that could have caused the symptoms were no
ted. She complained of edema of her left ann. On admission to another
hospital, her arm was found bound tightly with tape. She wanted surger
y to correct her esotropia but did not expect to improve her duality o
f life by having it done. We believe that our patient may have Munchau
sen syndrome and that the decreased visual acuity and diplopia may be
a rare association with the syndrome.