Korean Journal of Optometry and Vision Science 2014;13(2):63-67.
Published online December 31, 2014.
자가 안구적출을 시도한 정신분열증 환자 1예
노주희, 김소영
순천향대학교 의과대학 천안병원 안과학교실
Attempting Autoenucleation in a 47-Year-Old Schizophrenia Patient
Ju Hee Noh, So Young Kim
Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Received: 27 August 2014   • Revised: 1 November 2014   • Accepted: 5 November 2014
Abstract
Purpose: To report a case of a self-mutilation of his eyeball and eyelid.
Case summary: A 47-year-old male with paranoid schizophrenia attempted to tear out his eyelid and eyeball by hand tied up with restraining band. He had already sustained self-inflicted eyelid laceration using a pen. Emergency surgical exploration was done under general anesthesia. There were avulsive injuries of upper and lower eyelid. Canalicular and 360-degree conjuntival lacerations were present. Four extraocular muscles were ruptured and retinal hemorrhage was noticed. Primary wound repair was performed.
Conclusions: Autoenucleation can be one of the Self-harm of patient with Psychiatric disorder. Psychiatric referral for self-harm and close observation are mandatory even after operation, due to the possibility of repeat episodes and the increased risk of suicide. Korean J Optom Vis Sci 2014;13(2):63-67
Key Words: Autoenucleation, Optic nerve injury, Self-mutilation
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