Self-inflicted bilateral ocular injury with scissors in a psychiatric patient.

Jigyasa Sahu, Ritu Arora, Shweta Vishwanath
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Abstract

A young male was brought to the ophthalmic emergency by his family with severe bleeding from both eyes after self-inflicted injury with scissors in a fit of mania. He had a history of schizophrenia and has been on irregular treatment for the past 10 years. Both eyes were severely damaged with avulsion of all extraocular muscles in one eye and a large corneoscleral laceration in the other. We report this unique case of oedipism or self-enucleation where a sharp instrument was used. Self-inflicted injury to the eyes is a rather uncommon phenomenon described in psychiatric patients. It can range from minor abrasions to severe ocular mutilation and loss of sight. The strict observation of these patients while admitted to the hospital and a multidisciplinary approach to ensure their future safety are imperative.

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精神病人用剪刀自残双眼。
一名年轻男子在狂躁发作时用剪刀割伤双眼,双眼大量出血,被家人送到眼科急诊室。他有精神分裂症病史,在过去的10年里一直不定期接受治疗。双眼严重受损,一只眼眼外肌全部撕脱,另一只眼角膜巩膜撕裂。我们报告这个独特的俄狄浦斯癖或自我摘除术,其中一个尖锐的工具被使用。在精神病患者中,自我伤害眼睛是一种相当罕见的现象。它的范围从轻微的擦伤到严重的眼部损伤和失明。在入院期间对这些患者进行严格观察,并采取多学科方法确保他们未来的安全,这是当务之急。
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