Citation

Wachtel LE, Reti IM, Ying H. J. ECT 2014; 30(1): 73-76.

Affiliation

From the *Kennedy Krieger Institute, Johns Hopkins School of Medicine and †Johns Hopkins School of Medicine, Baltimore, MD.

Copyright

(Copyright © 2014, Lippincott Williams and Wilkins)

DOI

10.1097/YCT.0b013e31829b2d61

PMID

23812023

Abstract

: We present a 12-year-old autistic boy who underwent electroconvulsive therapy (ECT) for intractable self-injury toward his head and eyes in the context of acute bilateral retinal detachment and reparative surgery. The patient received 3 ECTs before retinal reattachment surgery, and resumed ECT 2 weeks postoperatively. Bilateral intraocular pressures were monitored before and after the first 7 ECTs and intermittently after ECT for 10 months of maintenance ECT. There was no evidence of sustained intraocular pressure elevation or instability. This report supports the safety of ECT for repetitive self-injury in youth before and after emergent ophthalmologic surgery for trauma-related injury.

Language: en