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Self-inflicted ocular mutilation

H K Yang, G C Brown, L E Magargal

American Journal of Ophthalmology

|May 1, 1981

Summary

This summary is machine-generated.

Self-inflicted eye mutilation is rare, often seen in young men with criminal records and drug abuse histories, frequently linked to schizophrenia. Surgical repair can improve vision, but severe cases may result in permanent blindness.

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Area of Science:

Ophthalmology
Psychiatry

Background:

Self-inflicted eye mutilation is an uncommon but distinct clinical entity.
It is frequently associated with underlying psychiatric conditions such as schizophrenia.

Observation:

Two cases of self-inflicted eye mutilation in young male prison inmates are presented.
Both patients had histories of criminal behavior, drug abuse, and psychiatric disturbances.

Findings:

The first patient, who inflicted eye injuries with a razor blade, experienced improved visual acuity after surgical repair.
The second patient, with a history of self-inflicted chemical burns and prior surgery, underwent enucleation of one eye and had no light perception in the remaining eye.

Implications:

This condition highlights the complex interplay between severe psychiatric illness and self-destructive behavior.

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Effective management requires a multidisciplinary approach addressing both ocular trauma and underlying psychological issues.