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Klin Monbl Augenheilkd · Jan 1994
Case Reports[Self-inflicted injuries of the eye: differential diagnosis of self-inflicted lacerating corneal injury].
- A Palmowski, G Heinz, and K W Ruprecht.
- Augenklinik und Poliklinik, Universität des Saarlandes.
- Klin Monbl Augenheilkd. 1994 Jan 1; 204 (1): 30-2.
BackgroundRecognising self-inflicted injuries is the prerequisite to initiate specific, psychiatric, therapy of the often underlying psychiatric disorders. The differential diagnosis of Oedipism, self-inflicted ocular injury, includes Munchausen's-syndrome, neuroses and schizophrenic psychoses.PatientWe present a patient in whom a self-inflicted corneal lancinating injury was the first sign of an acute relapse of his previously known paranoid-hallucinating schizophrenia, requiring immediate treatment.ConclusionIn patients with unexplained ocular disease self-inflicted ocular injury needs to be taken into consideration as the treatment of such patients requires close cooperation of Ophthalmologists and Psychiatrists.
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