Patton N
Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, UK.
Eye (Lond). 2004 Sep;18(9):867-72. doi: 10.1038/sj.eye.6701365.
To review the pathogenesis, clinical characteristics, and management of self-inflicted eye injuries.
Review of the medical literature.
Psychiatric theories of pathogenesis for self-inflicted behaviour include religious and sexual ideation, symbolism, guilt, and displacement. Biological theories include disorders of serotonergic, dopaminergic, and opiate neurotransmitters. Clinical characteristics of self-mutilators include acute or chronic psychoses, drug-induced psychoses, other psychiatric conditions, and certain organic states. The majority are young-to-early middle-aged male subjects, though it can also rarely occur in children. Management of self-inflicted eye injury requires close cooperation between ophthalmologists and psychiatrists as well as other medical specialists, to ensure quick resuscitation of the patient, prompt diagnosis and treatment of any injuries, and treatment of the underlying behaviour that led to the injuries.
Self-inflicted eye injuries are a rare but important group of ophthalmic conditions that require close cooperation between different medical specialties to ensure optimum care of the often severely disturbed patient.
回顾自我造成的眼部损伤的发病机制、临床特征及处理方法。
对医学文献进行回顾。
自我伤害行为的发病机制的心理学理论包括宗教和性观念、象征意义、内疚感及情感转移。生物学理论包括血清素能、多巴胺能及阿片类神经递质紊乱。自我伤害者的临床特征包括急性或慢性精神病、药物所致精神病、其他精神疾病及某些器质性状态。大多数是年轻至中年早期的男性患者，不过儿童中也很少见。自我造成的眼部损伤的处理需要眼科医生与精神科医生以及其他医学专家密切合作，以确保患者迅速复苏，及时诊断和治疗任何损伤，并治疗导致损伤的潜在行为。
自我造成的眼部损伤是一组罕见但重要的眼科疾病，需要不同医学专业之间密切合作，以确保对通常病情严重紊乱的患者进行最佳治疗。
