Jones N P
University Department of Ophthalmology, Manchester Royal Eye Hospital.
Br J Ophthalmol. 1990 Sep;74(9):571-3. doi: 10.1136/bjo.74.9.571.
Four cases of self-enucleation are reported. Self-induced ocular mutilation is uncommon. Self-enucleation is rare and is specifically associated with paranoid delusions, either as a result of a drug-related toxic psychosis or in the functional psychoses, especially schizophrenia. An association with solvent abuse is reported. Such patients use self enucleation as a form of parasuicide and may mutilate themselves in other ways. In the management of such patients close co-operation between ophthalmologist and psychiatrist is important, as further self injury, including suicide is common.
报告了4例自我眼球摘除病例。自我诱发的眼部自残并不常见。自我眼球摘除极为罕见，且特别与偏执妄想有关，其原因要么是药物相关的中毒性精神病，要么是功能性精神病，尤其是精神分裂症。有报告称其与溶剂滥用有关。这类患者将自我眼球摘除作为一种准自杀形式，且可能会以其他方式自残。在这类患者的治疗中，眼科医生和精神科医生密切合作很重要，因为进一步的自我伤害（包括自杀）很常见。
