Oedipism: bilateral self-enucleation

A Case Report of Bilateral Autoenucleation and Its Prevention

“…Table 1 lists the reported cases in the world literature since 1984 (Ananth et al, 1984;Bergua et al, 2002;Buhrich & Hayman, 1994;Dilly & Imes, 2001;Eisenhauer, 1985;Halo et al, 1990;Jones, 1990;Khan et al, 1985;Koh & Yeo, 2002;Leibovitch & Selva, 2006;Patil & James, 2004;Shiwach, 1998;Tuwir et al, 2005;Yucel & Ozkan, 1995). The largest review was in 1984 by Krauss et al (1984) describing 19 cases of bilateral self-enucleation and 31 cases of unilateral selfenucleation.…”

Facial self-mutilation: an analysis of published cases

“…In view of our limited findings, and of previously published data, it seems reasonable to suggest that patients with psychotic disorders who are determined to injure themselves severely for delusional reasons need to be restrained to prevent loss of function/structure, particularly visual 9 135 151. Also in the specific context of auto-enucleation it must not be forgotten that non-concomitant bilateral enucleation has been reported 69 71 90 126. Hence, the importance of early and vigorous inpatient treatment 134.…”

Ocular self-mutilation: a case series

“…[9][10][11][12][13] Most cases were in association with psychotic episodes, mainly untreated schizophrenia. 14 In this article, we report the first case of cocaine-induced self-enucleation in a healthy male with no known history of psychiatric disease, as well as another case of simultaneous bilateral selfenucleation in a patient with untreated schizophrenia. Self-enucleation is a rare ophthalmic and psychiatric emergency requiring immediate attention and collaboration between the ophthalmologist and the psychiatrist because it results in severe ophthalmic and possibly lethal neurological complications.…”