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Bilateral self-enucleation of eyes - Eye
Bilateral self-enucleation of eyes
Eye volume 18, pages431–432(2004)Cite this article
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Sir,
Self-enucleation of eyes in an extreme but fortunately rare form of self-harm. We present a case and review the literature.
Case report
A 48-year-old Caucasian male was brought to the Accident and Emergency Department with a history of self-gouging of both his eyes. Both his orbits were bandaged and there was very little ooze down over cheeks. His enucleated eyeballs, along with a long stump of optic nerve, were stored in a pot filled with normal saline (Figure 1—both enucleated eyes). He was calm and apparently in no pain. The history was patchy and his relatives said that he indeed had a very troubled family life. There was no significant past ocular history. He was a known epileptic and had a recent epileptic attack, prior to the self-enucleation. His medication included topiramate and lamotrigine.
Figure 1

Both enucleated eyeballs.
Full size image
He was admitted to the ward for observation and possible repair of the sockets. In the ward, he was quiet and refused any medication. He refused a closer examination of his orbits. A psychiatric consult concluded that he was suffering from a postictal psychosis, which had led him to do such an act. He was under constant nursing supervision through out the night. The next morning the sockets were examined closely and it was decided to leave them to heal spontaneously. Chloramphenicol eye ointment was prescribed for the sockets. He was registered fully blind and referred to artificial eye centre for prosthesis. He remains under psychiatric care.