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Ocular trauma or Oedipism: completing the evisceration.
Ujjwala Narang1, Laura Maubon2, Vishal Shah3
1St. George's, University of London, United Kingdom.
GMS Ophthalmology Cases
|September 20, 2021
Summary
Self-enucleation, a rare ocular trauma, requires prompt diagnosis and management. This case highlights the critical need for interdisciplinary collaboration to address underlying psychiatric conditions like schizophrenia alongside the eye injury for optimal patient care.
Area of Science:
- Ophthalmology
- Psychiatry
Background:
- Self-enucleation, or Oedipism, is an uncommon yet severe form of ocular trauma.
- Paranoid schizophrenia is frequently associated with self-inflicted ocular injuries.
Observation:
- A 58-year-old male presented with a bleeding left eye, with initial history limited.
- Further investigation revealed a history of paranoid schizophrenia, necessitating patient sectioning.
- The patient underwent evisceration of the left eye due to the self-inflicted injury.
Findings:
- The case underscores the diagnostic challenges and management complexities of self-enucleation.
- Successful patient management requires a multidisciplinary approach involving ophthalmology and psychiatry.
Implications:
- Early recognition and intervention are crucial for managing self-enucleation and associated psychiatric disorders.
- Integrated care models are essential for improving outcomes in patients with severe self-inflicted ocular trauma and mental illness.
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