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Updated: May 16, 2026

Corneal and Limbal Alkali Injury Induction Using a Punch-Trephine Technique in a Mouse Model
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[Traumatic enucleation. Accident or self-mutilation?].

P Straßburger1, G Váradi

  • 1Klinik für Augenheilkunde, Klinikum Chemnitz gGmbH, Flemmingstr. 2, 09116 Chemnitz. strassburgerp@skc.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|November 27, 2012
PubMed
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Traumatic eye enucleation requires careful evaluation to distinguish accidental injury from self-mutilation. Prompt interdisciplinary assessment is crucial due to high relapse risks in self-harm cases.

Area of Science:

  • Ophthalmology
  • Psychiatry
  • Trauma Surgery

Background:

  • Traumatic eye enucleation presents diagnostic challenges, particularly when self-mutilation is suspected.
  • Patient's acute mental state and injury characteristics can obscure the cause of eye avulsion.

Observation:

  • A case of traumatic enucleation prompted suspicion of self-mutilation due to injury context and patient's condition.
  • Psychiatric consultation was sought in two cases with suspected self-enucleation.
  • Thorough investigation ultimately confirmed accidental trauma in both instances.

Findings:

  • Accidental traumatic enucleation was confirmed in both evaluated cases.
  • Self-mutilation, while initially suspected, was ruled out after detailed assessment.
  • The potential for self-harm necessitates careful clinical judgment.

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Implications:

  • Interdisciplinary evaluation is vital for suspicious traumatic injuries, especially eye enucleation.
  • Early intervention and psychiatric support are critical for patients with self-mutilation risk.
  • Understanding the nuances between accidental trauma and self-harm is essential for appropriate patient management and preventing relapse.