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      Unsuccessful Self-Enucleation in a Schizophrenic Patient

      case-report

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          Abstract

          Self-enucleation is a very unusual form of self-mutilation directly linked to mental illness. In this case we present a 26-year-old schizophrenic patient who attempted to enucleate his eye with a rollerball pen. Antipsychotic therapy and emergency surgery saved the patient eye and emphasize the importance of quick response and good collaboration between psychiatric and ophthalmic teams.

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          Self-inflicted eye injuries: a review.

          Jaqunda Patton (2004)
          To review the pathogenesis, clinical characteristics, and management of self-inflicted eye injuries. Review of the medical literature. Psychiatric theories of pathogenesis for self-inflicted behaviour include religious and sexual ideation, symbolism, guilt, and displacement. Biological theories include disorders of serotonergic, dopaminergic, and opiate neurotransmitters. Clinical characteristics of self-mutilators include acute or chronic psychoses, drug-induced psychoses, other psychiatric conditions, and certain organic states. The majority are young-to-early middle-aged male subjects, though it can also rarely occur in children. Management of self-inflicted eye injury requires close cooperation between ophthalmologists and psychiatrists as well as other medical specialists, to ensure quick resuscitation of the patient, prompt diagnosis and treatment of any injuries, and treatment of the underlying behaviour that led to the injuries. Self-inflicted eye injuries are a rare but important group of ophthalmic conditions that require close cooperation between different medical specialties to ensure optimum care of the often severely disturbed patient.
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            Self-enucleation: forget Freud and Oedipus, it's all about untreated psychosis.

            Matthew Large, Olav B Nielssen (2012)
            Self-enucleation is a rare but serious ophthalmological and psychiatric emergency. It has traditionally been considered to be the result of psycho-sexual conflicts, including those arising from Freud's Oedipal complex and Christian religious teaching. However, an analysis of published case reports suggests that self-enucleation is a result of psychotic illnesses such as schizophrenia. Early treatment with antipsychotic medication in the case of unilateral or threatened self-enucleation might prevent some cases of blindness.
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              Autoenucleation: a case report and literature review.

              Alexander H Fan (2007)
              To inform readers of the psychopathology underlying ocular autoenucleation.
              Article 0 comments Cited 5 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Ophthalmol Med
                Journal ID (iso-abbrev): Case Rep Ophthalmol Med
                Journal ID (publisher-id): CRIOPM
                Title: Case Reports in Ophthalmological Medicine
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 2090-6722
                ISSN (Electronic): 2090-6730
                Publication date (Print): 2014
                Publication date (Electronic): 21 September 2014
                Volume: 2014
                Electronic Location Identifier: 237214
                Affiliations
                1The Ruth and Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel
                2Tel Aviv University, Tel Aviv, Israel
                3Department of Ophthalmology, The Edith Wolfson Medical Center, Holon, Israel
                Author notes

                Academic Editor: Alexander A. Bialasiewicz

                Author information
                http://orcid.org/0000-0002-1349-7090
                Article
                DOI: 10.1155/2014/237214
                PMC ID: 4189841
                SO-VID: e2d7abae-9e36-43b2-825d-0d89dfb2ce76
                Copyright © Copyright © 2014 Noam Bar-Yaakov et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 5 August 2014
                Date accepted : 8 September 2014
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Ophthalmology & Optometry
                Data availability:
                ScienceOpen disciplines: Ophthalmology & Optometry

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