Indian Journal of Ophthalmology

: 2014  |  Volume : 62  |  Issue : 6  |  Page : 749--750

Comment: Photo essay on self-inflicted eye injury

Rupak Roy, Kumar Saurabh 
 Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India

Correspondence Address:
Dr. Kumar Saurabh
Department of Vitreoretina, Sankara Nethralaya, 147, Mukundpur, E. M. Bypass, Kolkata - 700 099, West Bengal

How to cite this article:
Roy R, Saurabh K. Comment: Photo essay on self-inflicted eye injury.Indian J Ophthalmol 2014;62:749-750

How to cite this URL:
Roy R, Saurabh K. Comment: Photo essay on self-inflicted eye injury. Indian J Ophthalmol [serial online] 2014 [cited 2020 Sep 21 ];62:749-750
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Full Text

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.


1Gaur 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.
2Large 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.