Reichstein David, Esmaili Neda, Wells Timothy, Kim Judy E
Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, WI, USA.
Saudi J Ophthalmol. 2015 Apr-Jun;29(2):172-4. doi: 10.1016/j.sjopt.2014.09.006. Epub 2014 Sep 27.
Auto-enucleation is a sign of untreated psychosis. We describe two patients who presented with attempted auto-enucleation while being incarcerated. This is an observation two-case series of two young men who suffered untreated psychosis while being incarcerated. These young men showed severe self-inflicted ocular trauma during episodes of untreated psychosis. Injuries included orbital bone fracture and dehiscence of the lateral rectus in one patient and severe retinal hemorrhage and partial optic nerve avulsion in the second patient. Auto-enucleation is a severe symptom of untreated psychosis. This urgent finding can occur in a jail setting in which psychiatric care may be minimal.
眼球自摘除是未治疗的精神病的一种表现。我们描述了两名在被监禁期间试图进行眼球自摘除的患者。这是一个关于两名年轻男性的两例观察系列，他们在被监禁期间患有未治疗的精神病。这些年轻男性在未治疗的精神病发作期间表现出严重的自我造成的眼部创伤。损伤包括一名患者的眼眶骨折和外直肌裂开，以及第二名患者的严重视网膜出血和部分视神经撕脱。眼球自摘除是未治疗的精神病的严重症状。这种紧急情况可能发生在精神病护理可能极少的监狱环境中。
