[Self-inflicted injuries of the eye: differential diagnosis of self-inflicted lacerating corneal injury]

Klin Monbl Augenheilkd. 1994 Jan;204(1):30-2. doi: 10.1055/s-2008-1035498.
[Article in German]


Background: Recognising self-inflicted injuries is the prerequisite to initiate specific, psychiatric, therapy of the often underlying psychiatric disorders. The differential diagnosis of Oedipism, self-inflicted ocular injury, includes Munchausen's-syndrome, neuroses and schizophrenic psychoses.

Patient: We present a patient in whom a self-inflicted corneal lancinating injury was the first sign of an acute relapse of his previously known paranoid-hallucinating schizophrenia, requiring immediate treatment.

Conclusion: In patients with unexplained ocular disease self-inflicted ocular injury needs to be taken into consideration as the treatment of such patients requires close cooperation of Ophthalmologists and Psychiatrists.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Corneal Injuries*
  • Diagnosis, Differential
  • Hallucinations / diagnosis
  • Hallucinations / psychology
  • Humans
  • Male
  • Recurrence
  • Schizophrenia, Paranoid / diagnosis
  • Schizophrenia, Paranoid / psychology*
  • Self-Injurious Behavior / diagnosis
  • Self-Injurious Behavior / psychology*