Witherspoon C D, Feist F W, Morris R E, Feist R M
University of Alabama/Eye Foundation Hospital Combined Program in Ophthalmology, Birmingham.
Ann Ophthalmol. 1989 Jul;21(7):255-7, 259.
A 32-year-old paranoid schizophrenic man repeatedly stabbed both his eyes with a sharpened wire coat hanger. The patient underwent vitrectomy on each eye approximately 2 1/2 weeks after injury, with multiple retinal defects noted OU. None of the posterior wounds involved the macula or optic disc, and final vision was 20/70 OD and 20/50 OS. Ocular self-mutilation, deliberate and severe self-injury which threatens visual function, is a rare occurrence most often described in acutely psychotic patients. Psychosis may be due to schizophrenia, drug abuse, manic phases of bipolar mood disorders, and depression. A striking number of these patients have delusions with religious and sexual content. They are prone to repeated attempts during the acute psychotic phase and must be monitored closely at this time.
一名32岁的偏执型精神分裂症男子用一根磨尖的铁丝衣架反复刺伤自己的双眼。患者在受伤后约2个半月接受了双眼玻璃体切除术，双眼均发现多处视网膜缺损。所有后部伤口均未累及黄斑或视盘，最终视力右眼为20/70，左眼为20/50。眼部自残，即蓄意且严重的自我伤害并威胁视觉功能，是一种罕见的情况，最常出现在急性精神病患者中。精神病可能由精神分裂症、药物滥用、双相情感障碍的躁狂期以及抑郁症引起。这些患者中有相当数量存在带有宗教和性内容的妄想。他们在急性精神病发作期容易反复尝试自残，此时必须密切监测。
