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Autoenucleation of the eyeball by a schizophrenic patient Sakiko Nonomura 1 , Takeshi Sugawara 1 , Satoshi Mizuno 1 , Toshiyuki Oshitari 1 , Eiju Sato 1 , Shuichi Yamamoto 1 1Dept of Ophthalmol and Vis Sci,Chiba Univ Grad Sch of Med pp.85-88
Published Date 2012/1/15
DOI https://doi.org/10.11477/mf.1410104069
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Abstract. Purpose:To report autoenucleation of the eyeball by a patient with schizophrenia. Case:A 47-year-old female was referred to us from a psychiatric hospital where she was staying. The same morning,a nurse found her face covered by blood. An eyeball was found on the floor beside her. Past History:She had been diagnosed with schizophrenia at the age of 29 years. She started acts of self-mutilation and been treated by a psychiatric hospital. Findings:The left orbit was empty. The eyeball brought by the nurse showed the anterior part of optic nerve of 30 mm in length. The right eye was dislocated from the orbit and showed mydriasis,no light reaction,corneal opacity and hyphema. Magnetic resonance imaging(MRI)showed damaged optic nerve,intact sclera,and retinal detachment. The findings ruled out further surgical intervention. Conclusion:Autoenucleation of the eyeball in the present case is interpreted as an act of self-mutilation related to schizophrenia.


Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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