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Related Experiment Videos

Keratoconjunctivitis artefacta

J L Jay, S Grant, S B Murray

    The British Journal of Ophthalmology
    |December 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Self-inflicted keratoconjunctivitis, a rare eye condition, presents with distinct lesions and patient apathy. Prompt, non-accusatory care aids resolution, though some cases require psychiatric intervention.

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    Area of Science:

    • Ophthalmology
    • Psychiatry
    • Dermatology

    Background:

    • Self-inflicted injuries to the eye, specifically keratoconjunctivitis, are uncommon but present unique diagnostic and management challenges.
    • Understanding the psychological underpinnings is crucial for effective treatment and preventing recurrence.

    Observation:

    • Six cases of keratoconjunctivitis due to self-inflicted injury are detailed.
    • Characteristic findings include sharply delineated lesions in accessible conjunctival and corneal quadrants, patient unconcern, and psychological features.
    • Potential complications include secondary infections, erosions, allergies, and corneal anesthesia.

    Findings:

    • The diagnostic hallmark is the specific lesion pattern combined with patient's psychological state.
    • A sympathetic yet authoritative approach, avoiding direct accusations, led to resolution in all observed cases.

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  • Psychological triggers, such as avoidance of grief or relationship issues, were identified in some patients.

    • Implications:

    • Early recognition of self-inflicted keratoconjunctivitis is vital for appropriate management.
    • Treatment requires a multidisciplinary approach, integrating ophthalmological care with psychological support.
    • Intractable cases necessitate psychiatric evaluation, highlighting the complex interplay between mental health and physical symptoms.