Palmowski A, Heinz G, Ruprecht K W
Augenklinik und Poliklinik, Universität des Saarlandes.
Klin Monbl Augenheilkd. 1994 Jan;204(1):30-2. doi: 10.1055/s-2008-1035498.
Recognising self-inflicted injuries is the prerequisite to initiate specific, psychiatric, therapy of the often underlying psychiatric disorders. The differential diagnosis of Oedipism, self-inflicted ocular injury, includes Munchausen's-syndrome, neuroses and schizophrenic psychoses.
We present a patient in whom a self-inflicted corneal lancinating injury was the first sign of an acute relapse of his previously known paranoid-hallucinating schizophrenia, requiring immediate treatment.
In patients with unexplained ocular disease self-inflicted ocular injury needs to be taken into consideration as the treatment of such patients requires close cooperation of Ophthalmologists and Psychiatrists.
识别自我伤害行为是针对常常作为潜在病因的精神障碍启动特定精神治疗的前提。自伤性眼损伤（即俄狄浦斯症）的鉴别诊断包括孟乔森综合征、神经症和精神分裂症性精神病。
我们报告一名患者，其自伤性角膜穿刺伤是其先前已知的偏执幻觉型精神分裂症急性复发的首个迹象，需要立即治疗。
对于患有不明原因眼部疾病的患者，需要考虑自伤性眼损伤，因为此类患者的治疗需要眼科医生和精神科医生密切合作。
