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      Self-Enucleation in Drug-Related Psychosis

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          Abstract

          Objective: To report on a patient who committed self-enucleation with his own fingers. Methods: Case report of a 28-year-old man who self-enucleated his right eye. After ophthalmological treatment, he was referred to the psychiatric department for further evaluation and treatment. Results: Reconstruction of the orbit was performed, and neither ophthalmological nor neurological complications were noted. The psychiatric history revealed continuous drug abuse (cannabis and amphetamines). The diagnosis of a drug-induced psychosis was established. Conclusions: Self-enucleation or ‘oedipism’ is a rare entity which requires, besides an operative reconstruction of the orbit, neurological monitoring to prevent possible intracranial complications. Long-term psychiatric therapy should be attempted to prevent further self-injurious behaviour.

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          Author and article information

          Journal
          OPH
          Ophthalmologica
          10.1159/issn.0030-3755
          Ophthalmologica
          S. Karger AG
          0030-3755
          1423-0267
          2002
          August 2002
          29 August 2002
          : 216
          : 4
          : 269-271
          Affiliations
          Departments of aOphthalmology and bPsychiatry, University of Erlangen-Nuremberg, Erlangen, Germany
          Article
          63852 Ophthalmologica 2002;216:269–271
          10.1159/000063852
          12207131
          © 2002 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          References: 21, Pages: 3
          Categories
          Case Report · Description de cas · Fallbericht

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