J Korean Ophthalmol Soc.  2002 Jun;43(6):1086-1090.

A Case of Eyeball Perforation Through Self-injury Found in a Narcoleptic Patient

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Hanyang University, Kuri, Korea. song@hanyang.ac.kr
  • 2Department of Neurology, College of Medicine, Hanyang University, Kuri, Korea.

Abstract

PURPOSE: Narcolepsy is a specific neurologic syndrome consisting of excessive daytime drowsiness, cataplexy, and the additional phenomena of sleep paralysis and intense dreamlike hallucinations at sleep-wake transitions. We are reporting a patient with narcolepsy whose repeated self-injury caused traumatic eyeball perforation.
METHODS
A 26-year-old male with narcolepsy injured himself, which resulted in eyeball perforation in his both eyes. We diagnosed him as traumatic corneal laceration, traumatic cataract, and vitreous opacity due to lens material in vitreous in both eyes.
RESULTS
After improvement of narcoleptic symptom and healing of corneal perforation, we performed cataract extraction and pars plana vitrectomy under local anesthesia. During operation, we found preretinal gliosis at superior portion of optic disc and subretinal hemorrhage in the right eye. We observed successful improvement in visual acuity through intraocular lens implantation.

Keyword

Eyeball perforation; Narcolepsy; Self-injury; Traumatic Cataract

MeSH Terms

Adult
Anesthesia, Local
Cataplexy
Cataract
Cataract Extraction
Corneal Perforation
Gliosis
Hallucinations
Hemorrhage
Humans
Lacerations
Lens Implantation, Intraocular
Male
Narcolepsy
Sleep Paralysis
Sleep Stages
Visual Acuity
Vitrectomy
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