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Related Experiment Videos

Severe ocular self-injury

H L Field1, S Waldfogel

  • 1Wills Eye Hospital, Philadelphia, Pennsylvania, USA.

General Hospital Psychiatry
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

Self-inflicted eye injuries are often severe, occurring in psychotic patients with delusions or those with organic disabilities. Vigilance is crucial, especially for confined individuals, as these acts can recur.

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Area of Science:

  • Ophthalmology
  • Psychiatry
  • Forensic Psychology

Background:

  • Self-mutilation of the eyes is a severe and deliberate act requiring clinical characterization.
  • Understanding the patient profiles is essential for effective management and prevention.

Observation:

  • A review of nine cases of intentional, severe, self-inflicted eye injuries was conducted at a specialty eye hospital.
  • Patients were categorized into two main groups based on their clinical presentation and underlying conditions.

Findings:

  • The first group consisted of young psychotic individuals exhibiting severe psychopathology, including delusions and command hallucinations.
  • The second group comprised patients with organic disabilities such as dementia or severe mental retardation, often with pre-existing eye irritation or post-surgical conditions.

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  • One patient was identified as a recidivist, and two-thirds of the patients were confined at the time of the injury.

    • Implications:

    • The high incidence in confined populations necessitates increased vigilance from caretakers.
    • The potential for recurrence warrants caution and careful psychiatric evaluation and management.