Noel L P, Clarke W N
Am J Ophthalmol. 1982 Nov;94(5):630-3. doi: 10.1016/0002-9394(82)90008-3.
Ocular damage resulting from self-mutilation is not uncommon in severely retarded children. Such injuries are caused by repeated headbanging or self-inflicted blows to the face. We treated four children with self-inflicted ocular injuries ranging from corneal lacerations to vitreous hemorrhage and retinal detachment. One child, a 14-year-old boy with tuberous sclerosis, became blind. Persons caring for such children should be alert to changes in the appearance of the pupil, changes in the personality or performance level of the child, and to the development of exotropia. Early treatment and protective equipment (spectacles or helmets) may prevent permanent injury.
自残导致的眼部损伤在重度智力发育迟缓儿童中并不罕见。此类损伤是由反复撞头或自行打脸所致。我们治疗了四名因自残导致眼部受伤的儿童，损伤范围从角膜裂伤到玻璃体出血和视网膜脱离。一名患有结节性硬化症的14岁男孩失明。照顾这类儿童的人员应留意瞳孔外观的变化、儿童性格或行为水平的变化以及外斜视的发展。早期治疗和防护设备（眼镜或头盔）可能会预防永久性损伤。
