he disorder of vision in which two images of a single object are seen and also called double vision (Gräf & Lorenz, 2012). Though diplopia is a frequent symptom in neurology and ophthalmology, non-organic (psychogenic) ‘diplopia is relatively rare’ (Gräf & Lorenz, 2012). In ICD 11 (WHO, 2018), psychogenic diplopia is classified as ‘Dissociate neurological symptom disorder’ (DNSD). Psychogenic diplopia is classified under ‘DNSD with visual disturbance’ (6B60.0) and is characterized by, “…visual symptoms such as blindness, tunnel vision, diplopia, visual distortions or hallucinations that are not consistent with a recognized disease of the nervous system, other mental or behavioral disorder, or other health condition and do not occur exclusively during another dissociative disorder” (p.51) (WHO, 2018). Among adults, if the psychological causes of the functional visual disturbances are unexplored and the disorders misdiagnosed as factious disorder may lead to detrimental effects (Pozuelo, et al. 2023). Despite the growing literature describing clinical features and natural history of adult patients with DNSD, the clinical characteristics in children have received relatively little attention. Porteous and Clarke (2009) reported a child with diplopia and there were significant adverse psychosocial factors as well as physical abuse.

Patients with Medically Unexplained Symptoms (MUS) like psychogenic diplopia and other symptoms poses a challenge to the health service providers. They are frequently referred to different departments in the medical setting and often subjected to inappropriate investigations and treatments. In Low- and Middle-Income Countries (LAMIC) like ours, patients with MSU’s consume significant health care resources as well as cause burden to the patient