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Autoenucleation: a case report and literature review
1Dr. Fan is a staff psychiatrist, Cedars-Sinai Medical Center, Los Angeles, California.
Psychiatry (Edgmont (Pa. : Township))
|April 30, 2010
Summary
Psychotic illness, such as schizophrenia, can lead to ocular autoenucleation (self-enucleation of the eye). Prompt multidisciplinary treatment is crucial for managing both the medical emergency and the psychiatric condition.
Area of Science:
- Ophthalmology
- Psychiatry
- Psychopathology
Background:
- Ocular autoenucleation is a rare but severe manifestation of psychiatric distress.
- Understanding the psychopathology is key to effective treatment.
Observation:
- A case report details a male adult patient with schizophrenia who self-enucleated his left eye.
- The patient presented with severe psychotic symptoms.
Findings:
- The patient's psychotic symptoms resolved with antipsychotic medication.
- The patient was left permanently blind in the affected eye.
Implications:
- This case highlights the critical link between psychotic disorders and self-injurious behavior.
- Aggressive, multidisciplinary treatment is essential for managing ocular autoenucleation and its underlying psychiatric causes.
