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Self-inflicted penetrating eye injuries using a razor blade: case report.
Hessom Razavi1, Nicholas Price
1International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK. hessom.razavi@gmail.com
BMC Ophthalmology
|December 17, 2009
Summary
This case report details a self-inflicted ocular injury in a young man, highlighting that situational stress can trigger such events even in non-psychotic individuals. Prompt surgical intervention can restore vision, emphasizing the need for psychiatric evaluation.
Area of Science:
- Ophthalmology
- Psychiatry
- Trauma Surgery
Background:
- A case report of a 23-year-old male with a history of social and behavioral issues.
- The patient attempted self-harm through chemical and mechanical means, including alcohol and a razor blade.
Observation:
- The patient self-inflicted bilateral scleral lacerations using a razor blade following job loss.
- This resulted in bilateral inferior scleral perforations, hypotony, and a right traumatic cataract.
Findings:
- Urgent surgical repair and prophylactic antibiotics were administered.
- No retinal breaks or detachments were observed.
- The patient later underwent successful cataract surgery in the right eye.
Implications:
- Self-inflicted ocular injuries can occur in non-psychotic individuals as a response to acute life events.
- Timely surgical repair can lead to complete vision restoration in select cases.
- Mandatory referral for psychiatric counseling is crucial for managing underlying issues.

