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Related Experiment Videos

Ocular self-mutilation.

C D Witherspoon1, F W Feist, R E Morris

  • 1University of Alabama/Eye Foundation Hospital Combined Program in Ophthalmology, Birmingham.

Annals of Ophthalmology
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Ocular self-mutilation is rare, often seen in psychotic patients. Prompt vitrectomy can preserve vision in severe eye injuries from self-harm.

Area of Science:

  • Ophthalmology
  • Psychiatry

Background:

  • Ocular self-mutilation is a rare but severe form of self-injury threatening visual function.
  • It is most commonly observed in patients experiencing acute psychosis, often linked to schizophrenia, substance abuse, or mood disorders.

Observation:

  • A case study involving a 32-year-old male with paranoid schizophrenia who self-inflicted bilateral eye stab wounds using a coat hanger.
  • The patient sustained multiple retinal defects in both eyes (OU) but importantly, without macular or optic disc involvement.

Findings:

  • Surgical intervention via vitrectomy was performed approximately 2.5 weeks post-injury.
  • Despite the severe trauma, final visual acuity was recorded as 20/70 in the right eye (OD) and 20/50 in the left eye (OS).

Implications:

Related Experiment Videos

  • This case highlights the critical need for close monitoring of acutely psychotic patients, particularly those with delusions.
  • Early surgical intervention, such as vitrectomy, can be crucial in mitigating visual loss from ocular self-mutilation.
  • Understanding the psychiatric underpinnings, including potential religious or sexual delusions, is vital for managing patients at risk of self-harm.