[Cause of a contusion of the eyeball].
A 21-year-old man presented in the emergency department with noticeable deterioration of vision and a feeling of pressure in the right eye. He stated that he had injured his eye when a shot was fired while cleaning a blank cartridge pistol. Ultrasound examination revealed no evidence of intravitreal hemorrhage or detachment of the retina. Examination by computed tomography did not reveal the presence of a foreign body. The severely reduced visual acuity could most likely be attributed to a traumatic cataract. An in-depth psychiatric examination of the anamnesis revealed that the patient had deliberately injured himself with the weapon. The severe traumatic eye injury was the result of an unrecognized hebephrenic schizophrenia.
Bühner
E
E
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig AöR, Liebigstrasse 10-14, 04303 Leipzig. Eva.Buehner@medizin.uni-leipzig.de
Weber
S
S
Gentsch
D
D
Meier
P
P
D003288:Contusions / Q000175:diagnosis / Q000209:etiology*; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D012562:Schizophrenia, Disorganized / Q000150:complications* / Q000175:diagnosis*; D016728:Self-Injurious Behavior / Q000150:complications* / Q000175:diagnosis; D014948:Wounds, Gunshot / Q000150:complications* / Q000175:diagnosis*; D055815:Young Adult