Citation

Gamulescu MA, Serguhn S, Aigner JM, Lohmann CP, Roider J. Klin. Monatsbl. Augenheilkd. (1963) 2001; 218(6): 451-454.

Copyright

(Copyright © 2001, Georg Thieme Verlag)

DOI

10.1055/s-2001-16261

PMID

11488013

Abstract

BACKGROUND: Autoenucleation is the worst form of self-mutilation of the eye. Patients affected are mostly those with psychosis and delusions, but such acts can also happen under the influence of drugs, alcohol, solvents and seldom with organic illnesses. Often, these patients are known to be autoaggressive and suicidal.
PATIENTS: We present two psychiatric patients who autoenucleated one eye and injured the other. A 41-year-old patient with known organic epilepsy based on a temporal-lobe-hemangioma and psychosis with delusions autoenucleated his right eye and lacerated the conjunctiva of the other, following imperative voices. A 50-year-old female suffered from a long-standing paranoid schizophrenia and religious delusions, and autoaggressive acts with resulting amaurosis of the right eye and several suicidal attempts had preceded the autoenucleation of the left eye.
DISCUSSION: After the completion of the autoaggressive act the patients experience relief, but often the autoaggresive or suicidal impulses persist or recur. A close cooperation between ophthalmologists and psychiatrist in these patients is imperative.

Language: de

Keywords

Adult; Epilepsy, Temporal Lobe; Eye Enucleation; Female; Humans; Male; Neurocognitive Disorders; Patient Care Team; Risk Factors; Schizophrenia, Paranoid; Self Mutilation; Suicide, Attempted