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[Self-enucleation in a psychiatric patient].
Ugeskr Laeger
December 2024
Afdeling for Øjensygdomme, Københavns Universitetshospital - Rigshospitalet Glostrup.
Self-enucleation is a rare but severe self-inflicted eye injury linked to psychiatric disorders like schizophrenia and bipolar disorder as well as substance abuse. Treatment requires a multidisciplinary approach involving urgent medical and surgical care, followed by long-term psychiatric treatment. In this case report, a 32-year-old woman presented to an ophthalmic emergency department after self-enucleation and was later admitted to a psychiatric ward.
View Article and Find Full Text PDFA case of accidental self-enucleation caused by obstructive sleep apnea.
J Clin Sleep Med
August 2024
Minnesota Regional Sleep Disorders Center, and Departments of Neurology, Hennepin County Medical Center and University of Minnesota Medical School, Minneapolis, Minnesota.
Article Synopsis
- A 55-year-old woman with obstructive sleep apnea (OSA) and obesity hypoventilation syndrome experienced severe injuries after suddenly falling asleep and colliding with a sharp object, leading to the surgical removal of her right eye.
- The study reviews existing literature on injuries related to OSA, including falls and motor vehicle accidents, while highlighting the risks associated with excessive daytime sleepiness.
- The authors stress the importance of educating healthcare providers on the early detection and treatment of OSA to prevent such serious injuries.
Fatal Oedipism: A Case Report and Literature Review.
Ophthalmic Plast Reconstr Surg
May 2024
Department of Ophthalmology and Visual Sciences.
Purpose: To describe a unique case of a fatal self-enucleation and review previously published cases.
Methods: The authors describe a unique case of a complete unilateral self-enucleation while under the influence of drugs, which resulted in severe intracranial hemorrhages, right internal carotid artery opacification, and death. A literature review was performed by searching articles published before January 2023 in the Pubmed/MEDLINE database using the keywords "auto-enucleation or self-enucleation.
Self-inflicted bilateral ocular injury with scissors in a psychiatric patient.
GMS Ophthalmol Cases
May 2023
Guru Nanak Eye Centre, MAMC, New Delhi, India.
A young male was brought to the ophthalmic emergency by his family with severe bleeding from both eyes after self-inflicted injury with scissors in a fit of mania. He had a history of schizophrenia and has been on irregular treatment for the past 10 years. Both eyes were severely damaged with avulsion of all extraocular muscles in one eye and a large corneoscleral laceration in the other.
View Article and Find Full Text PDFBilateral Self-enucleation of the Eyes: Case Report and Literature Review.
J West Afr Coll Surg
March 2023
Centre for Eye Health Research and Training, Nnamdi Azikiwe University, Awka, Nigeria.
Self-removal of the eyeball is an extreme form of self-harm, which is rare especially in a society ill-disposed to self-maiming. We report the case of a 75-year old man who plucked out his own two eyes in obedience to a voice urging him to do so. According to his wife, the patient had been exhibiting symptoms suggestive of a psychiatric disorder just before the incident.
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