Optic nerve massaging: an extremely rare cause of self-inflicted blindness

Détails

ID Serval
serval:BIB_618F9286E516
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Optic nerve massaging: an extremely rare cause of self-inflicted blindness
Périodique
American Journal of Ophthalmology
Auteur(s)
Borruat  F. X., Kawasaki  A.
ISSN
0002-9394 (Print)
Statut éditorial
Publié
Date de publication
04/2005
Volume
139
Numéro
4
Pages
715-6
Notes
Case Reports
Journal Article --- Old month value: Apr
Résumé
PURPOSE: To report a patient whose self-inflicted blindness was not clinically apparent by history or external signs of trauma. DESIGN: Observational case report. METHODS: A 12-year-old girl with a history of social and behavioral problems was noted to have visual loss in her right eye. Examination revealed no light perception, optic nerve atrophy, partial upper lid ptosis, exotropia, and hypoesthesia of the cheek, all on her right side. RESULTS: After undergoing extensive examinations which were unrevealing for a diagnosis, the patient admitted to a recurrent maneuver, which she secretly used to relieve anxiety and stress. This maneuver consisted of inserting her index finger under the right supraorbital rim and forcibly subluxating her globe out of the orbital space. CONCLUSIONS: Self-inflicted visual loss can occur in nonpsychotic and nonviolent patients. Accurate diagnosis is important, as there is a risk of similar involvement to the fellow eye, and referral for psychiatric counseling is mandatory.
Mots-clé
Blindness/diagnosis/*etiology/psychology Child Exophthalmos/etiology Exotropia/etiology Female Humans Massage/*adverse effects *Optic Nerve Optic Nerve Injuries/diagnosis/*etiology/psychology Self Mutilation/diagnosis/*etiology/psychology
Pubmed
Web of science
Création de la notice
28/01/2008 12:37
Dernière modification de la notice
20/08/2019 14:18
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