Self-inflicted repetitive optic nerve injury: a case report.
OBJECTIVE
To describe an obsessive-compulsive patient who developed blindness after self-inflicted repetitive optic nerve injury.


METHODS
Case report.


RESULTS
A myopic 46-year-old male became blind as a result of intermittent rubbing of his eyes, causing stretching of the optic nerves. Extensive ocular, neurologic and systemic work-ups were negative. Cerebral and orbital MR studies showed severe bilateral optic nerve atrophy. Psychiatric evaluation confirmed obsessive-compulsive personality.


CONCLUSIONS
Self-inflicted optic nerve injury should be included in the differential diagnosis of progressive optic neuropathy in a young adult.
Detry-Morel
M
M
Department of Ophthalmology, St. Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium.
Philippart
R
R
Boschi
A
A
Luts
A
A
D001766:Blindness / Q000209:etiology; D006801:Humans; D008019:Life Style; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000150:complications*; D009896:Optic Atrophy / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D020221:Optic Nerve Injuries / Q000150:complications / Q000209:etiology*