Loss of vision secondary to obsessive–compulsive disorder: a case report

• Published in: General hospital psychiatry Vol. 31; no. 3; pp. 292 - 294
• Main Authors: Torres, Albina Rodrigues, M.D., Ph.D, de Souza Domingues, Mariana, M.D, Shiguematsu, Alvio Isao, M.D., Ph.D, Smaira, Sumaia Inaty, M.D., Ph.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-05-2009; Elsevier
• Subjects: Adult; Adult and adolescent clinical studies; Anxiety disorders. Neuroses; Biological and medical sciences; Clinical complications; Compulsion; Diagnosis, Differential; Eye Injuries - complications; Humans; Male; Medical sciences; Obsessive-Compulsive Disorder - complications; Obsessive-Compulsive Disorder - diagnosis; Obsessive-compulsive disorders; Obsessive–compulsive disorder; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Self-inflicted eye injuries; Self-Injurious Behavior - complications; Self-mutilation; Severity of Illness Index; Surveys and Questionnaires; Tic Disorders - diagnosis; Vision Disorders - complications; Vision Disorders - etiology; Visual Acuity; Self-inflicted eye injuries; Obsessive–compulsive disorder; Clinical complications; Compulsion; Self-mutilation; Self injury; Obsessive compulsive disorder; Vision disorder; Anxiety disorder; Male; Involuntary movement; Eye; Visual system; Criterion; Adult; Complication; Obsessive-compulsive disorder; Neurological disorder; Human; Nervous system diseases; Differential diagnostic; Tic; Case study; Eye disease; Clinical management; Treatment; Blindness
• ISSN: 0163-8343; 1873-7714
• DOI: 10.1016/j.genhosppsych.2008.08.007

Abstract Objective To report a rare case of self-inflicted eye injury secondary to obsessive-compulsive disorder (OCD). Method Case report. Results A 41 year-old patient had significant bilateral visual loss and blunt trauma through touching his ocular cavities due to recurrent doubts regarding their shape and urges to check the format of bones and cartilages. Differential diagnosis with tic disorders is discussed, and the patient's treatment approach is described. Conclusion Although rare, severe clinical complications can occur in OCD.