• Orbit · Dec 2007

    Review Case Reports

    A case report of bilateral autoenucleation and its prevention.

    • Ashima V Kumar and Craig E Geist.
    • SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. avkumar@gwu.edu
    • Orbit. 2007 Dec 1; 26 (4): 309-13.

    PurposeTo report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques.DesignCase report and retrospective review.InterventionsSurgical repair of the orbits in a patient who autoenucleated both eyes.Main Outcome MeasuresTo determine methods to prevent self-destructive behavior.ResultsUp 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.ConclusionsPrevention of autoenucleation requires early identification of susceptible subjects and timely initiation of preventive measures.

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