title: Self-enucleation and psychosis.
abstract: 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.
authors.affiliation: University Department of Ophthalmology, Manchester Royal Eye Hospital.
authors.forename: N P
authors.initials: NP
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D000328:Adult; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D008297:Male; D011605:Psychoses, Substance-Induced / Q000150:complications*; D012652:Self Mutilation / Q000523:psychology*