title: [Bilateral oedipism: a case report].
abstract: BACKGROUND
  Oedipism (or self-enucleation) is a rare form of self-mutilation and most often described in acutely psychotic patients, less frequently among drug addicts or the mentally deficient.
  
  
  METHODS
  We report a case of a 46-year-old man, who, 3 years after having enucleated his left eye during an acute bout of delirium symptomatic of schizophrenia, mutilated his right eye in the same way. We detail the emergency medical and surgical management indicated in these circumstances.
  
  
  CONCLUSIONS
  In most cases described, self-mutilation involves one eye and rarely both. This case of bilateral oedipism is therefore exceptional. In these circumstances, it is necessary to prevent any intracerebral complications induced by the traction exerted on the optic nerve, such as subarachnoid hemorrhage, whose signs can be masked by the patient's psychic state, and to take the neuropsychiatric precautions necessary.
authors.affiliation: Service d'Ophtalmologie, Hôpital Edouard Herriot, Hospices civils de Lyon, Lyon, France. Sarah_perignon@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Pérignon
authors.forename: P L
authors.initials: PL
authors.lastname: Cornut
authors.forename: F
authors.initials: F
authors.lastname: Boyer
authors.forename: H Janin
authors.initials: HJ
authors.lastname: Manificat
authors.forename: C
authors.initials: C
authors.lastname: Burillon
authors.forename: P
authors.initials: P
authors.lastname: Denis
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D001930:Brain Injuries / Q000209:etiology; D003702:Delusions / Q000209:etiology* / Q000523:psychology; D005004:Ethmoid Bone / Q000293:injuries; D005094:Exophthalmos / Q000209:etiology* / Q000601:surgery; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000601:surgery; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009229:Mythology; D061219:Olfactory Nerve Injuries; D020221:Optic Nerve Injuries / Q000209:etiology / Q000601:surgery; D010349:Patient Compliance; D012008:Recurrence; D012559:Schizophrenia / Q000150:complications* / Q000188:drug therapy; D012565:Schizophrenic Psychology; D012652:Self Mutilation / Q000523:psychology* / Q000628:therapy
chemical_list: D014150:Antipsychotic Agents