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Ophthalmic Plast Reconstr Surg. 2005 Mar;21(2):156-7.

Self-inserted intraorbital foreign bodies.

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Oxford Eye Hospital, Radcliffe Infirmary, Oxford, United Kingdom.


We report an unusual case of self-mutilation by insertion of multiple foreign bodies in the orbit. A 26-year-old female psychiatric patient with a severe emotionally unstable personality disorder was reviewed in the ophthalmology clinic. She had allegedly inserted a metal staple into her right eye 2 days previously and was complaining of pain around the right eye. Radiography showed multiple foreign bodies in the right orbit and one in the left orbit. Self-mutilation in psychiatric patients has been well documented. The management of nonorganic, nontoxic intraorbital foreign bodies is discussed. A low threshold for imaging in these cases is of vital importance.

[Indexed for MEDLINE]

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