Oedipism: A rare case of an incomplete self-inflicted eye removal

Abstract

Introduction: The term oedipism is derived from Greek mythology meaning self-enucleation. Oedipism is a rare but serious ophthalmologic and psychiatric emergency. Occurs in patients with severe mental disorders such as schizophrenia and can be life-threatening. Besides psychiatric illnesses, self-enucleation is also at times associated with alcohol/drug-related disorders.

Case report: We present a case of 32-year-old male who self-enucleated his right eye, Patient was well until 26/12/24 when he started having delusional thoughts that someone wanted to harm him. Noted to be bleeding from the little finger of his right hand. He was immediately rushed to a health center and first aid done and discharged. A few hours later lots of blood was noted coming from his right eye with luxation of the right globe. Patient denied history of trauma. Referred to Kenyatta National Hospital for further management.

Conclusion: Oedipism is a very rare condition though presents amidst our society. Mental health awareness, early treatment of persons with mental disorders can prevent this extreme self-harm.