Authors :
Sujit Kumar Biswas; Shaila Sharmin; Soma Rani Roy
Volume/Issue :
Volume 8 - 2023, Issue 11 - November
Google Scholar :
https://tinyurl.com/5ex2yp7n
Scribd :
https://tinyurl.com/mw5vweet
DOI :
https://doi.org/10.5281/zenodo.10159620
Abstract :
Aim:
To present two cases of self-inflicted ocular surface
injury.Case report:
First case was a 13-year-old girl with reduction of
vision in both her eyes (? counting finger) and redness
with conjunctival laceration in the temporal area,
surprisingly, without any pain for one month. The
patient denied any history of trauma and lives in a girls
hostel at that school. On examination, subjective visual
acuity was in both eyes (?) counting finger one foot, brisk
pupillary reaction, quiet anterior chamber, clear lens
with normal fundi of both eyes. Most probably self-
induced conjunctival injuries, she used her finger-nail
for this purpose and looks accessible part of the ocular
surface. The second case was a 55-year-old woman
presented with a foreign body sensation, watering,
redness and blurring of vision in both eyes for two
weeks. The patient denied any history of trauma,
subjective visual acuity was 6/36 in both eyes, congested
conjunctiva, brisk pupillary reaction, quiet anterior
chamber, senile early cataractous lens with normal fundi
of both eyes. Fluorescein stain showed 3x4 mm epithelial
defect over the lower part of both corneas. She was using
a paper napkin to sweep her eyes for removal of foreign
bodies frequently and injured by herself.
They were given treatment with broad spectrum
topical antibiotic eye drops, weak corticosteroid and
artificial tear substitute and strong counseling. The
lesions healed within 2 weeks.Conclusion:
Self-inflicted ocular injuries are very rare, and
usually need immediate medical treatment, strong
counseling and psychiatrist consultations.
Keywords :
Self-Inflicted Injury, Ocular Surface, Functional Disorders, Organic Disorders, Strong Counseling.
Aim:
To present two cases of self-inflicted ocular surface
injury.Case report:
First case was a 13-year-old girl with reduction of
vision in both her eyes (? counting finger) and redness
with conjunctival laceration in the temporal area,
surprisingly, without any pain for one month. The
patient denied any history of trauma and lives in a girls
hostel at that school. On examination, subjective visual
acuity was in both eyes (?) counting finger one foot, brisk
pupillary reaction, quiet anterior chamber, clear lens
with normal fundi of both eyes. Most probably self-
induced conjunctival injuries, she used her finger-nail
for this purpose and looks accessible part of the ocular
surface. The second case was a 55-year-old woman
presented with a foreign body sensation, watering,
redness and blurring of vision in both eyes for two
weeks. The patient denied any history of trauma,
subjective visual acuity was 6/36 in both eyes, congested
conjunctiva, brisk pupillary reaction, quiet anterior
chamber, senile early cataractous lens with normal fundi
of both eyes. Fluorescein stain showed 3x4 mm epithelial
defect over the lower part of both corneas. She was using
a paper napkin to sweep her eyes for removal of foreign
bodies frequently and injured by herself.
They were given treatment with broad spectrum
topical antibiotic eye drops, weak corticosteroid and
artificial tear substitute and strong counseling. The
lesions healed within 2 weeks.Conclusion:
Self-inflicted ocular injuries are very rare, and
usually need immediate medical treatment, strong
counseling and psychiatrist consultations.
Keywords :
Self-Inflicted Injury, Ocular Surface, Functional Disorders, Organic Disorders, Strong Counseling.
