Tourette syndrome and iatrogenic eye injury.
OBJECTIVE
To describe the circumstances associated with eye injury from an ocular examination of two patients with Tourette syndrome.


METHODS
Case reports.


METHODS
A 21-year-old man and a 24-year-old man had sudden and unpredictable movement during an eye examination, causing conjunctival laceration and hemorrhage abrasion in the first patient and a corneal abrasion in the second patient.


RESULTS
With topical antibiotics for both patients and patching of the eye for the 24-year-old patient, healing was uncomplicated.


CONCLUSIONS
Patients with Tourette syndrome are at risk of eye injury when an unanticipated tic movement occurs during eye examination. Physician precautions, particularly mental preparedness for sudden jerking movement, should be taken when examining patients with Tourette syndrome.
Margo
Curtis E
CE
Department of Ophthalmology, Watson Clinic, LLP, Lakeland, Florida 33805, USA. cmargo@watsonclinic.com
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001458:Bandages; D003228:Conjunctiva / Q000293:injuries*; D065306:Corneal Injuries; D005131:Eye Injuries / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D022125:Lacerations / Q000188:drug therapy / Q000209:etiology; D008297:Male; D013981:Tic Disorders / Q000209:etiology*; D005879:Tourette Syndrome / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents