Document Detail

Keratoconjunctivitis artefacta.
MedLine Citation:
PMID:  7171528     Owner:  NLM     Status:  MEDLINE    
Six cases of keratoconjunctivitis caused by self-inflicted injury are described. The diagnosis is suggested by the combination of the characteristic sharply delineated lesions localised in the more accessible inferior and nasal quadrants of the bulbar conjunctiva and cornea, together with the unconcerned attitude of the patient and other psychological features. Secondary post-traumatic erosions, infections, and allergies may complicate the clinical appearances, and other functional eye disturbances including corneal anaesthesia may be detected. In all cases the eye condition resolved with a sympathetic but authoritative approach avoiding direct accusation. Avoidance of feelings about bereavement or sexual relationships were directly related to the onset of symptoms in 3 cases. In some patients the psychological mechanism seemed inaccessible and they continued to produce new self-inflicted diseases with considerable physical and psychological morbidity. These more intractable cases need psychiatric investigation but usually resist referral.
J L Jay; S Grant; S B Murray
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  66     ISSN:  0007-1161     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  1982 Dec 
Date Detail:
Created Date:  1983-02-14     Completed Date:  1983-02-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  781-5     Citation Subset:  IM    
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MeSH Terms
Conjunctiva / injuries*
Keratoconjunctivitis / etiology*
Self Mutilation / complications*,  diagnosis,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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