Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-24T03:32:06.375Z Has data issue: false hasContentIssue false

Bilateral autoenucleation in a man with a severe personality disorder

Published online by Cambridge University Press:  13 June 2014

David J Meagher
Affiliation:
St Davnet's Hospital, Monaghan, Co Monaghan, Ireland
Tom J Fahy
Affiliation:
Clinical Science Institute, University College Galway, Co Galway, Ireland
John Nolan
Affiliation:
University Hospital Galway, Co Galway, Ireland

Abstract

A case of self-inflicted eye injury is described in a setting of alcohol intoxication and severe personality disturbance. The case is believed to be the only one of its type described this century. The relevant classical and contemporary literature is reviewed and psychopathological explanations discussed. Possible indicators of impending self-violence are reviewed.

Type
Case Report
Copyright
Copyright © Cambridge University Press 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.O'Hogain, D. The hero in Irish folk history. Dublin: Gill and Macmillan, 1985.Google Scholar
2.Sophocles, . Oedipus Rex. D, Fitts and R, Fitzgerald (transl). New York: Harcourt, Brace and World, 1939.Google Scholar
3.Ellis-Davidson, HRE. Gods and myths of northern Europe. Middlesex: Penguin, 1964.Google Scholar
4.Koch, FLR. Patron saints of the eyes: an outline. Am J Ophthalmology 1945; 28:160–72.CrossRefGoogle Scholar
5.Bergmann, GH. Ein fall von religioses monomanie, die eine unerharte selbstverletzung veranlasste. Allg Z Psychiatr 1846; 3: 365–80.Google Scholar
6. Matthew 5:29, King James version.Google Scholar
7.Duke-Elder, S. Textbook of Ophthalmology. Vol 6. 1954.Google Scholar
8.Stinnett, JL, Hollander, MK. Compulsive self-mutilation. J Nerv Ment Dis 1970; 150: 371–5.CrossRefGoogle ScholarPubMed
9.The Diagnostic and Statistical Manual of Mental Disorders. 3rd Edition (revised). Washington: American Psychiatric Association, 1987.Google Scholar
10.Cooper, SN. Self-inflicted ocular injuries. All India Ophthalmol Soc 1969; 16: 213–6.Google Scholar
11.Roper-Hall, MJ. Self-inflicted conjunctivitis. Brit J Ophthalmology 1949; 3: 119–20.Google Scholar
12.Somerset, EJ. Self-inflicted conjunctivitis. An account of cases produced by jequirity and castor oil seeds. Brit J Ophthalmology 1945; 29: 196204.CrossRefGoogle ScholarPubMed
13.Tapper, CM, Bland, RC, Danyluk, L. Self-inflicted eye injuries and selfinflicted blindness. J Nerv Ment Dis 1979; 167: 311–4.CrossRefGoogle ScholarPubMed
14.Griffin, N, Webb, MGT, Parker, PR. A case of self-inflicted eye injuries. J Nerv Ment Dis 1982; 170: 53–6.CrossRefGoogle ScholarPubMed
15.Krauss, HR, Yee, RD, Foos, RY. Autoenucleation. Survey of Ophthalmology 1984; 29: 179–87.CrossRefGoogle ScholarPubMed
16.Rosen, DH, Hoffman, AM. Focal Suicide: self-enucleation by two young psychotic individuals. Am J Psychiatry 1972; 128: 1009–12.CrossRefGoogle ScholarPubMed
17.Moscovitz, RA, Byrd, T. Rescuing the angel within: PCP-related selfenucleation. Psychosomatic 1983; 24: 402–6.CrossRefGoogle Scholar
18.Westermeyer, J, Serposs, A. A third case of self-enucleation. Am J Psychiatry 1972; 129: 144.CrossRefGoogle ScholarPubMed
19. Despagnet. Arrachment de Loel. Ann Ocul 1893; 109: 53.Google Scholar
20.Gould, GM, Pyle, WL. Anomalies and curiosities of Medicine. Philadelphia: WB Saunders, 1897.Google Scholar
21.Feldman, MD. The challenge of self-mutilation: a review. Compr Psychiatry 1988; 29: 252–69.CrossRefGoogle ScholarPubMed
22.Menninger, KA. Man against himself. New Jersey: Harcourt Brace, 1938: 231–85.Google Scholar
23.Sweeny, S, Zamecnik, K. Predictors of self-mutilation in patients with schizophrenia. Am J Psychiatry 1981; 138: 1086–9.Google ScholarPubMed
24.Stein, G. Drug treatment of the personality disorders. Br J Psychiatry 1992; 161: 167–85.CrossRefGoogle ScholarPubMed
25.Fitzgerald, RG. Reactions to blindness. An exploratory study of adults with recent loss of sight. Arch Gen Psychiatry 1970; 22: 370–9.CrossRefGoogle ScholarPubMed