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August 1964

Self-Inflicted Bilateral Enucleation

Author Affiliations

Department of Ophthalmology, University Hospital.

Arch Ophthalmol. 1964;72(2):225-226. doi:10.1001/archopht.1964.00970020225014

This report concerns a case of self-inflicted, bilateral enucleation.

Report of Case  A 25-year-old Negro man was admitted from a neighboring hospital to University Hospital for psychiatric evaluation. He was involved in an automobile accident four days prior to this because he heard voices telling him that the other vehicles on the road did not really exist. He became essentially mute, and was then referred for consultation.One of 17 children, the patient had always led a rather borderline but nonsociopathic existence. Since July, 1963, however, when he saw his younger brother accidentally killed with a shotgun, he became more agitated and seclusive and gradually deteriorated psychologically. He began to speak of the delusion that everyone in his family was dead and that they all looked like vampires and werewolves. He also stated that at one time a bolt of fire had come out of his eyes and burst open

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