Kumar Ashima V, Geist Craig E
SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Orbit. 2007 Dec;26(4):309-13. doi: 10.1080/01676830600987334.
To report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques.
Case report and retrospective review.
Surgical repair of the orbits in a patient who autoenucleated both eyes.
To determine methods to prevent self-destructive behavior.
Up to 75% of these acts are performed by psychiatric inpatients as a form of focal suicide. Methods to prevent self-inflicting behavior include differential reinforcement, boxing gloves, soft cotton gloves, a bubble helmet, facial screening, electrical stimulation, and tarsorraphy.
Prevention of autoenucleation requires early identification of susceptible subjects and timely initiation of preventive measures.
报告一例病例,并回顾眼科和精神科文献,以记录这种自我伤害行为的模式,并回顾预防技术。
病例报告和回顾性研究。
对双眼自我摘除眼球的患者进行眼眶手术修复。
确定预防自我毁灭行为的方法。
高达75%的此类行为由精神科住院患者作为一种局部自杀形式实施。预防自我伤害行为的方法包括差别强化、拳击手套、软棉手套、气泡头盔、面部遮挡、电刺激和睑裂缝合术。
预防自我眼球摘除需要早期识别易感人群并及时采取预防措施。