Ocular Munchausen's syndrome

Ophthalmology. 1986 Aug;93(8):1120-3. doi: 10.1016/s0161-6420(86)33613-3.


Patients with contrived histories and/or self-induced physical abnormalities (Munchausen's syndrome) are often successful in deceiving physicians. We recently cared for four patients with ocular Munchausen's syndrome. Self-induced ocular manifestations included voluntary nystagmus, subconjunctival hemorrhages, chronic orbital emphysema requiring exenteration, corneal alkali burns, erosions and ulcerations, and abscesses of the periorbital area. Correct diagnoses of ocular Munchausen's syndrome were made only after extensive medical and surgical investigations. Suggestions for evaluation and treatment will also be discussed.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Eye Diseases / complications*
  • Eye Diseases / diagnostic imaging
  • Eye Diseases / pathology
  • Female
  • Humans
  • Munchausen Syndrome / complications*
  • Radiography
  • Self Mutilation