Ocular mutilation: A case of bilateral self-evisceration in a patient with acute psychosis.

for both the orbits. A quick neurologic examination revealed a completely delirious state; initial orbital ultrasonography showed collapsed ocular coats without visible contents/foreign body, subsequent computed tomography of the head and orbit showed no visible globe in either of the orbits with soft tissue edema (Figure 2). There was no evidence of intracranial bleed or major organ damage and the patient was stabilized after Dear editor, Self-inflicted eye injuries in psychotic patients are not uncommon, it has been well described in the literature, earlier report date back to the mid-19th century, but it was there in ancient time as well. In developing countries, because of poor health care system, it seems many cases go undiagnosed and unreported. The underlying cause for such severe selfmutilation is multifactorial, self-enucleation (Oedipism) was earlier related to inappropriate sexual behavior with the mother and consequent self-harm (Freud's famous Oedipus complex) or due to certain religious thoughts. Today with the growing literature on many aspects of human psychology, one of the major psychiatric illness such as schizophrenia, depression, obsessivecompulsive disorder or drug abuse is the predisposing factor but among this schizophrenia is the major illness in signifi cant number of cases. [1–6]