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  • Title: A case report of bilateral autoenucleation and its prevention.
    Author: Kumar AV, Geist CE.
    Journal: Orbit; 2007 Dec; 26(4):309-13. PubMed ID: 18097975.
    Abstract:
    PURPOSE: To report a case and review both the ophthalmic and psychiatric literature to document the pattern of this self-mutilation and review prevention techniques. DESIGN: Case report and retrospective review. INTERVENTIONS: Surgical repair of the orbits in a patient who autoenucleated both eyes. MAIN OUTCOME MEASURES: To determine methods to prevent self-destructive behavior. RESULTS: Up to 75% of these acts are performed by psychiatric inpatients as a form of focal suicide. Methods to prevent self-inflicting behavior include differential reinforcement, boxing gloves, soft cotton gloves, a bubble helmet, facial screening, electrical stimulation, and tarsorraphy. CONCLUSIONS: Prevention of autoenucleation requires early identification of susceptible subjects and timely initiation of preventive measures.
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