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Attempted auto-enucleation in two incarcerated young men with psychosis. Saudi J Ophthalmol 2015;29(2):172-4

Date

04/22/2015

Pubmed ID

25892940

Pubmed Central ID

PMC4398797

DOI

10.1016/j.sjopt.2014.09.006

Scopus ID

2-s2.0-84942515443 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

Auto-enucleation is a sign of untreated psychosis. We describe two patients who presented with attempted auto-enucleation while being incarcerated. This is an observation two-case series of two young men who suffered untreated psychosis while being incarcerated. These young men showed severe self-inflicted ocular trauma during episodes of untreated psychosis. Injuries included orbital bone fracture and dehiscence of the lateral rectus in one patient and severe retinal hemorrhage and partial optic nerve avulsion in the second patient. Auto-enucleation is a severe symptom of untreated psychosis. This urgent finding can occur in a jail setting in which psychiatric care may be minimal.

Author List

Reichstein D, Esmaili N, Wells T, Kim JE

Authors

Neda Esmaili MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin
Timothy Scott Wells MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin