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   Table of Contents      
LETTER TO THE EDITOR
Year : 2014  |  Volume : 62  |  Issue : 6  |  Page : 749-750

Comment: Photo essay on self-inflicted eye injury


Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India

Date of Web Publication8-Jul-2014

Correspondence Address:
Dr. Kumar Saurabh
Department of Vitreoretina, Sankara Nethralaya, 147, Mukundpur, E. M. Bypass, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.129789

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How to cite this article:
Roy R, Saurabh K. Comment: Photo essay on self-inflicted eye injury. Indian J Ophthalmol 2014;62:749-50

How to cite this URL:
Roy R, Saurabh K. Comment: Photo essay on self-inflicted eye injury. Indian J Ophthalmol [serial online] 2014 [cited 2019 Aug 20];62:749-50. Available from: http://www.ijo.in/text.asp?2014/62/6/749/129789

Dear Sir,

We read the case report by Gaur et al.,[1] with great interest. The radiograph of the needles in the facial tissues is the key feature of this photo-essay. Self-inflicted injuries have been reported in psychotic disorders and are known to be associated with first episode psychosis. [2] We are eager to know that whether the patient's psychiatric evaluation suggested that he was under a psychotic spell or he misunderstood the acupuncture technique and inserted needles on his own. We suppose that "aquapuncture", which authors have mentioned in the text actually meant acupuncture. It is heartening to know that patient's headache subsided completely; however, did that recur after removal of needles? The cause of headache and the way it subsided after piercing needles are something which we are curious to know. As mentioned, all the needles were inserted in the skin around the eyes, so we expect there was no actual globe injury. Any visual morbidity and the visual outcome after the entire episode for the patient need to be explained.

The authors have done a commendable job in removing all needles in time. However, a clinical photograph prior to removal of needles would have added to the value of the photo-essay. Timely intervention was important in this case.

 
  References Top

1.
Gaur S, Bist HK, Sinha V, Gupta M. An unusual case of self-inflicted multiple needles injuries to eye. Indian J Ophthalmol 2013;61:516-7.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Large M, Andrews D, Babidge N, Hume F, Nielssen O. Self-inflicted eye injuries in first-episode and previously treated psychosis. Aust N Z J Psychiatry 2008;42:183-91.  Back to cited text no. 2
    




 

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