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Related Experiment Videos

Self-enucleation and psychosis.

N P Jones1

  • 1University Department of Ophthalmology, Manchester Royal Eye Hospital.

The British Journal of Ophthalmology
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

Self-enucleation, or self-induced eye removal, is a rare act often linked to paranoid delusions from psychosis or schizophrenia. Management requires collaboration between ophthalmologists and psychiatrists due to high risks of further self-harm.

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Area of Science:

  • Ophthalmology
  • Psychiatry
  • Toxicology

Background:

  • Self-enucleation, the act of removing one's own eye, is an uncommon and severe form of self-mutilation.
  • This behavior is rarely documented in medical literature, highlighting its unusual nature.

Observation:

  • The reported cases specifically link self-enucleation to paranoid delusions.
  • These delusions appear to stem from drug-related toxic psychosis or functional psychoses, particularly schizophrenia.
  • An association with solvent abuse was also noted in the cases.

Findings:

  • Patients engaging in self-enucleation may also exhibit other forms of self-mutilation, utilizing it as a parasuicidal behavior.
  • The underlying psychological conditions are critical factors in understanding this extreme act.

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Implications:

  • Effective management necessitates close collaboration between ophthalmologists and psychiatrists.
  • There is a significant risk of further self-injury, including suicide, in patients presenting with self-enucleation.
  • Early psychiatric intervention and comprehensive patient care are crucial.