@article{ref1,
title="A case report of bilateral autoenucleation and its prevention",
journal="Orbit",
year="2007",
author="Kumar, Ashima V. and Geist, Craig E.",
volume="26",
number="4",
pages="309-313",
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. <br><br>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.<p /><p>Language: en</p>",
language="en",
issn="0167-6830",
doi="10.1080/01676830600987334",
url="http://dx.doi.org/10.1080/01676830600987334"
}