title: [Self-inflicted injuries of the eye: differential diagnosis of self-inflicted lacerating corneal injury].
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Augenklinik und Poliklinik, Universität des Saarlandes.
authors.forename: A
authors.initials: A
authors.lastname: Palmowski
authors.forename: G
authors.initials: G
authors.lastname: Heinz
authors.forename: K W
authors.initials: KW
authors.lastname: Ruprecht
mesh_terms: D000328:Adult; D065306:Corneal Injuries; D003937:Diagnosis, Differential; D006212:Hallucinations / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D012008:Recurrence; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000523:psychology*
vernacular_title: Selbstverletzungen am Auge: Differentialdiagnose am Beispiel einer selbstinduzierten lanzierenden kornealen Verletzung.