@article{ref1,
title="Fatal oedipism: a case report and literature review",
journal="Ophthalmic plastic and reconstructive surgery",
year="2023",
author="Gupta, Lalita and Houchens, Tucker and Khair, Diana and Hughes, Samuel and Vora, Paras and Zoerner, Douglas and Fraser, Justin and Timoney, Peter J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To describe a unique case of a fatal self-enucleation and review previously published cases. <br><br>METHODS: The authors describe a unique case of a complete unilateral self-enucleation while under the influence of drugs, which resulted in severe intracranial hemorrhages, right internal carotid artery opacification, and death. A literature review was performed by searching articles published before January 2023 in the Pubmed/MEDLINE database using the keywords &quot;auto-enucleation or self-enucleation.&quot; Cases of self-inflicted damage to the globe without severing any connections were excluded. <br><br>RESULTS: A literature review identified a total of 54 articles and 75 patients who had self-enucleated at least one globe completely (84.0%). Their average age was 37 years and 50.7% were male. At the time of auto-enucleation, 64.0% of these patients had known psychiatric disorders, and 28.0% were found to be under the influence of illicit drugs or alcohol. Auto-enucleation resulted in intracranial complications in 26.7% of cases. There has been 1 prior case, which, like the authors' case, resulted in death due to intracranial complications. However, this occurred in a patient who partially enucleated one eye after a self-inflicted injury to the fellow eye. The current case is unique as these complications resulted from a complete unilateral auto-enucleation. <br><br>CONCLUSIONS: The severity of this case's presentation and outcome highlights the importance of prompt neuroimaging and a thorough assessment. Prompt psychiatric assessment and treatment are also required.<p /> <p>Language: en</p>",
language="en",
issn="0740-9303",
doi="10.1097/IOP.0000000000002537",
url="http://dx.doi.org/10.1097/IOP.0000000000002537"
}