Citation

Kumar AV, Geist CE. Orbit 2007; 26(4): 309-313.

Copyright

(Copyright © 2007, Informa - Taylor and Francis Group)

DOI

10.1080/01676830600987334

PMID

18097975

Abstract

PURPOSE: To report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques.
DESIGN: Case report and retrospective review.
INTERVENTIONS: Surgical repair of the orbits in a patient who autoenucleated both eyes.
MAIN OUTCOME MEASURES: To determine methods to prevent self-destructive behavior.
RESULTS: Up to 75% of these acts are performed by psychiatric inpatients as a form of focal suicide.

METHODS to prevent self-inflicting behavior include differential reinforcement, boxing gloves, soft cotton gloves, a bubble helmet, facial screening, electrical stimulation, and tarsorraphy.
CONCLUSIONS: Prevention of autoenucleation requires early identification of susceptible subjects and timely initiation of preventive measures.

Language: en

Keywords

Eye Enucleation; Humans; Male; Middle Aged; Orbital Implants; Self Mutilation