Complications and outcomes after autoenucleation.

Area of Science:

• Ophthalmology
• Neurology
• Psychiatry

Background:

• Autoenucleation, the self-inflicted removal of an eye, has historical precedents dating back centuries.
• Recent case reviews highlight the persistent occurrence of autoenucleation, necessitating a review of its associated factors and complications.

Observation:

• Two adult male cases of autoenucleation were admitted within a three-month period.
• One patient tested positive for methamphetamine use; the other had a history of schizophrenia.
• Neurological sequelae were identified in one patient, including carotid artery dissection, subarachnoid hemorrhage, and stroke.

Findings:

• The literature review indicates a strong association between autoenucleation and underlying psychiatric disorders or substance abuse.
• Autoenucleation presents significant risks beyond ocular trauma, including potentially life-threatening neurological complications.

Implications:

• Ophthalmologists and healthcare providers must recognize the psychiatric and neurological risks associated with autoenucleation.
• Early identification and management of underlying mental health conditions and substance abuse are crucial in preventing such severe injuries.