Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1990 Sep;74(9):571–573. doi: 10.1136/bjo.74.9.571

Self-enucleation and psychosis.

N P Jones 1
PMCID: PMC1042215  PMID: 2393650

Abstract

Four cases of self-enucleation are reported. Self-induced ocular mutilation is uncommon. Self-enucleation is rare and is specifically associated with paranoid delusions, either as a result of a drug-related toxic psychosis or in the functional psychoses, especially schizophrenia. An association with solvent abuse is reported. Such patients use self enucleation as a form of parasuicide and may mutilate themselves in other ways. In the management of such patients close co-operation between ophthalmologist and psychiatrist is important, as further self injury, including suicide is common.

Full text

PDF
571

Images in this article

571Image
on p.571
572Image
on p.572
572Image
on p.572

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ananth J., Kaplan H. S., Lin K. M. Self-inflicted enucleation of an eye: two case reports. Can J Psychiatry. 1984 Mar;29(2):145–146. doi: 10.1177/070674378402900213. [DOI] [PubMed] [Google Scholar]
  2. Jay J. L., Grant S., Murray S. B. Keratoconjunctivitis artefacta. Br J Ophthalmol. 1982 Dec;66(12):781–785. doi: 10.1136/bjo.66.12.781. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Khan J. A., Buescher L., Ide C. H., Pettigrove B. Medical management of self-enucleation. Arch Ophthalmol. 1985 Mar;103(3):386–389. doi: 10.1001/archopht.1985.01050030082027. [DOI] [PubMed] [Google Scholar]
  4. Kinnas S. J., Brady H. R. Oedipism and Down's syndrome: case report and review of the literature. Ann Ophthalmol. 1985 Jul;17(7):431–433. [PubMed] [Google Scholar]
  5. Krauss H. R., Yee R. D., Foos R. Y. Autoenucleation. Surv Ophthalmol. 1984 Nov-Dec;29(3):179–187. doi: 10.1016/0039-6257(84)90203-0. [DOI] [PubMed] [Google Scholar]
  6. Noel L. P., Clarke W. N. Self-inflicted ocular injuries in children. Am J Ophthalmol. 1982 Nov;94(5):630–633. doi: 10.1016/0002-9394(82)90008-3. [DOI] [PubMed] [Google Scholar]
  7. Pillai S., Mahmood M. A., Limaye S. R. Complete evulsion of the globe and optic nerve. Br J Ophthalmol. 1987 Jan;71(1):69–72. doi: 10.1136/bjo.71.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. ROPER-HALL M. J. Self-inflicted conjunctivitis. Br J Ophthalmol. 1950 Feb;34(2):119–119. doi: 10.1136/bjo.34.2.119. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rosen D. H., Hoffman A. M. Focal suicide: self-enucleation by two young psychotic individuals. Am J Psychiatry. 1972 Feb;128(8):1009–1012. doi: 10.1176/ajp.128.8.1009. [DOI] [PubMed] [Google Scholar]
  10. Somerset E. J. SELF INFLICTED CONJUNCTIVITIS: An account of cases produced by the jequirity and castor oil seeds. Br J Ophthalmol. 1945 Apr;29(4):196–204. doi: 10.1136/bjo.29.4.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Stannard K., Leonard T., Holder G., Shilling J. Oedipism reviewed: a case of bilateral ocular self-mutilation. Br J Ophthalmol. 1984 Apr;68(4):276–280. doi: 10.1136/bjo.68.4.276. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Tamai M., Mizuno K., Okuyama S. Self-inflicted proptosis misdiagnosed as orbital malignancy. Am J Ophthalmol. 1983 Dec;96(6):812–814. doi: 10.1016/s0002-9394(14)71933-6. [DOI] [PubMed] [Google Scholar]
  13. Trope G. E., Jay J. L., Dudgeon J., Woodruff G. Self-inflicted corneal injuries in children with congenital corneal anaesthesia. Br J Ophthalmol. 1985 Jul;69(7):551–554. doi: 10.1136/bjo.69.7.551. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. WILSON W. A. Oedipism. Am J Ophthalmol. 1955 Oct;40(4):563–567. doi: 10.1016/0002-9394(55)90562-6. [DOI] [PubMed] [Google Scholar]
  15. Witherspoon C. D., Feist F. W., Morris R. E., Feist R. M. Ocular self-mutilation. Ann Ophthalmol. 1989 Jul;21(7):255-7, 259. [PubMed] [Google Scholar]
  16. Yang H. K., Brown G. C., Magargal L. E. Self-inflicted ocular mutilation. Am J Ophthalmol. 1981 May;91(5):658–663. doi: 10.1016/0002-9394(81)90070-2. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES