Autoenucleation

Last updated
The mythical Oedipus gouged his eyes out. Oedipus.jpg
The mythical Oedipus gouged his eyes out.

Autoenucleation, also known as oedipism, is the self-inflicted enucleation (removal) of the eye. It is considered a form of self-mutilation and is normally caused by psychosis, paranoid delusions or drugs. [1] Between 1968 and 2018 there were more than 50 documented cases of "complete or partial self-enucleation in English medical journals". [2] According to a 2012 study published in the British Journal of Ophthalmology , self-enucleation was previously "considered to be the result of psycho-sexual conflicts" even if psychosis is a more likely cause. [3]

History

A famous case of autoenucleation can be found in Greek mythology: Oedipus, according to Sophocles's tragedy Oedipus Rex , gouged his own eyes out after discovering he had married his mother.

In the 13th century, Marco Polo witnessed a pious Baghdad carpenter who enucleated his right eye for sinful thoughts of a young female customer.

In the 19th century, Jews in the Pale of Settlement in eastern Europe sometimes resorted to self-mutilation, including blinding themselves in one eye, to avoid the Russian empire's onerous regime of military conscription. [4]

On April 1, 2004, Andre Thomas removed his right eye with his bare hands whilst he was in jail awaiting trial for fatally stabbing his estranged wife and her two children. [5] Thomas was later diagnosed with schizophrenia. [6] On December 9, 2008, whilst on death row after being convicted of capital murder, Thomas removed his left eye and ate it. [7] Thomas said he ingested his eye to prevent the federal government of the United States from reading his thoughts. [8]

On February 6, 2018, a 20-year old American, Kaylee Muthart, received national attention after she gouged both her eyes out while high on methamphetamine, believing that "sacrificing her eyes [would] save the world". [2] The incident left Muthart permanently blind, though she later said "I'm happier now than I was before all this happened". [9] [10] [11]

In March 2019, Tanya Suárez removed her own eyes in a San Diego, California, county jail while under the influence of methamphetamine. She sued San Diego county, alleging that a sheriff's deputy watched her from outside her cell door but did nothing; video footage to that effect has reportedly been seen in court, but not released to the public. [12] In October 2022, she settled with the county for $4.35m. [13]

Related Research Articles

<span class="mw-page-title-main">Ophthalmology</span> Field of medicine treating eye disorders

Ophthalmology is a clinical and surgical specialty within medicine that deals with the diagnosis and treatment of eye disorders. A former term is oculism.

<i>Oedipus Rex</i> Classical Athenian tragedy by Sophocles

Oedipus Rex, also known by its Greek title, Oedipus Tyrannus, or Oedipus the King, is an Athenian tragedy by Sophocles that was first performed c. 429 BC. Originally, to the ancient Greeks, the title was simply Oedipus (Οἰδίπους), as it is referred to by Aristotle in the Poetics. It is thought to have been renamed Oedipus Tyrannus to distinguish it from Oedipus at Colonus, a later play by Sophocles. In antiquity, the term "tyrant" referred to a ruler with no legitimate claim to rule, but it did not necessarily have a negative connotation.

<span class="mw-page-title-main">Bates method</span> Ineffective alternative eyesight improvement therapy

The Bates method is an ineffective and potentially dangerous alternative therapy aimed at improving eyesight. Eye-care physician William Horatio Bates (1860–1931) held the erroneous belief that the extraocular muscles effected changes in focus and that "mental strain" caused abnormal action of these muscles; hence he believed that relieving such "strain" would cure defective vision. In 1952, optometry professor Elwin Marg wrote of Bates, "Most of his claims and almost all of his theories have been considered false by practically all visual scientists."

<span class="mw-page-title-main">Eye surgery</span> Surgery performed on the eye or its adnexa

Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa. Eye surgery is part of ophthalmology and is performed by an ophthalmologist or eye surgeon. The eye is a fragile organ, and requires due care before, during, and after a surgical procedure to minimize or prevent further damage. An eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions. Mentions of eye surgery can be found in several ancient texts dating back as early as 1800 BC, with cataract treatment starting in the fifth century BC. It continues to be a widely practiced class of surgery, with various techniques having been developed for treating eye problems.

<span class="mw-page-title-main">Visual impairment</span> Decreased ability to see

Visual or vision impairment is the partial or total inability of visual perception. In the absence of treatment such as corrective eyewear, assistive devices, and medical treatment – visual impairment may cause the individual difficulties with normal daily tasks including reading and walking. The terms low vision and blindness are often used for levels of impairment which are difficult or impossible to correct and significantly impact daily life. In addition to the various permanent conditions, fleeting temporary vision impairment, amaurosis fugax, may occur, and may indicate serious medical problems.

<span class="mw-page-title-main">Enucleation of the eye</span> Type of ocular surgery

Enucleation is the removal of the eye that leaves the eye muscles and remaining orbital contents intact. This type of ocular surgery is indicated for a number of ocular tumors, in eyes that have sustained severe trauma, and in eyes that are otherwise blind and painful.

<span class="mw-page-title-main">Eye-gouging</span> Act of pressing or tearing the eye

Eye-gouging is the act of pressing or tearing the eye using the fingers or instruments. Eye-gouging involves a very high risk of eye injury, such as eye loss or blindness.

Sympathetic ophthalmia (SO), also called spared eye injury, is a diffuse granulomatous inflammation of the uveal layer of both eyes following trauma to one eye. It can leave the affected person completely blind. Symptoms may develop from days to several years after a penetrating eye injury. It typically results from a delayed hypersensitivity reaction.

<span class="mw-page-title-main">Patricia Bath</span> First African American woman doctor to receive a patent for a medical invention

Patricia Era Bath was an American ophthalmologist and humanitarian. She became the first female member of the Jules Stein Eye Institute, the first woman to lead a post-graduate training program in ophthalmology, and the first woman elected to the honorary staff of the UCLA Medical Center. Bath was the first African-American to serve as a resident in ophthalmology at New York University. She was also the first African-American woman to serve on staff as a surgeon at the UCLA Medical Center. Bath was the first African-American woman doctor to receive a patent for a medical purpose. A holder of five patents, she founded the non-profit American Institute for the Prevention of Blindness in Washington, D.C.

Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit, eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures.

<span class="mw-page-title-main">Govindappa Venkataswamy</span> Indian ophthalmologist

Govindappa Venkataswamy, popularly known as Dr V., was an Indian ophthalmologist who dedicated his life to eliminate needless blindness. He was the founder and former chairman of Aravind Eye Hospitals. He is best known for developing a high quality, high volume, low-cost service delivery model that has restored sight to millions of people. Since inception, Aravind Eye Care System has seen over 55 million patients, and performed over 6.8 million surgeries. Over 50% of the organisation's patients pay either nothing or highly subsidised rates. Its scale and self-sustainability prompted a 1993 Harvard Business Case Study on the Aravind model.

<span class="mw-page-title-main">Ocular prosthesis</span> Type of craniofacial prosthesis

An ocular prosthesis, artificial eye or glass eye is a type of craniofacial prosthesis that replaces an absent natural eye following an enucleation, evisceration, or orbital exenteration. The prosthesis fits over an orbital implant and under the eyelids. Though often referred to as a glass eye, the ocular prosthesis roughly takes the shape of a convex shell and is made of medical grade plastic acrylic. A few ocular prostheses today are made of cryolite glass. A variant of the ocular prosthesis is a very thin hard shell known as a scleral shell which can be worn over a damaged or eviscerated eye. Makers of ocular prosthetics are known as ocularists. An ocular prosthesis does not provide vision; this would be a visual prosthesis. Someone with an ocular prosthesis is altogether blind on the affected side and has monocular vision.

<span class="mw-page-title-main">Saibaba Goud</span> Indian ophthalmologist

Alampur Saibaba Goud is an Indian ophthalmologist and founder-chairman of the Devnar Foundation for the Blind. He is also a social entrepreneur, and active in the voluntary organization at Secunderabad in Telangana, a state of India. He works in the field of providing aid to visually challenged and visually disabled children in India.

<span class="mw-page-title-main">Ameneh Bahrami</span> Iranian woman blinded in an acid attack

Ameneh Bahrami is an Iranian woman blinded in an acid attack. She became the focus of international controversy after demanding that her attacker, Majid Movahedi, be punished by being similarly blinded. The punishment is permitted under the Qisas principle of sharia.

<span class="mw-page-title-main">Sanduk Ruit</span> Nepalese ophthalmologist

Sanduk Ruit is an ophthalmologist from Nepal who was involved to restore the sight of over 180,000 people across Africa and Asia using small-incision cataract surgery.

Andre Lee Thomas is an American convicted murderer and death row inmate known for removing both of his eyeballs in separate incidents and ingesting one of them. In 2004, Thomas killed his estranged wife Laura Boren, his four-year-old son and her one-year-old daughter in Sherman, Texas. He cut open the chests of all three victims, and he removed the two children's hearts.

<span class="mw-page-title-main">Blinding (punishment)</span> Type of physical punishment

Blinding is a type of physical punishment which results in complete or nearly complete loss of vision. It was used as an act of revenge and torture. The punishment has been used since Antiquity; Greek mythology makes several references to blinding as divine punishment, which reflects human practice.

Herbert Edward Kaufman is an American ophthalmologist who discovered idoxuridine, the first clinically useful antiviral agent; co-developed with William Bourne the clinical specular microscope to view the live corneal endothelium, co-developed timolol with Thomas Zimmerman, a new class of medications to treat glaucoma; corneal storage media for eye banks; natamycin, the first commercially available medication to treat fungal infections of the eye; co-developed with Tony Gasset the use of bandage contact lenses; and was involved in the first laser vision photorefractive keratectomy of the eye with Marguarite McDonald.

Visual impairment in art is a limited topic covered by research, with its focus being on how visually impaired people are represented in artwork throughout history. This is commonly portrayed through the inclusion of objects such as canes and dogs to symbolize blindness, which is the most frequently depicted visual impairment in art. Many notable figures in art history, such as Leonardo da Vinci, Claude Monet, and Georgia O'Keeffe, were visually impaired, or theorized to be so.

<span class="mw-page-title-main">Cultural depictions of blindness</span>

The theme of blindness has been explored by many different cultures throughout history, with blind characters appearing in stories from ancient Greek mythology and Judeo-Christian religious texts. In the modern era, blindness has featured in numerous works of literature and poetry by authors such as William Shakespeare, William Blake, and H. G. Wells, and has also been a recurring trope in film and other visual media.

References

  1. NP Jones (1990-09-01). "Self-enucleation and psychosis". The British Journal of Ophthalmology. 74 (9): 571–573. doi:10.1136/bjo.74.9.571. PMC   1042215 . PMID   2393650.
  2. 1 2 Kee, Caroline (2018-03-14). "A 20-Year-Old Gouged Out Her Own Eyes While In A Drug-Induced Psychosis". BuzzFeed. Archived from the original on 2018-03-14. Retrieved 2018-03-15.
  3. Matthew Michael Large, Olav B Nielssen (24 July 2012). "Self-enucleation: forget Freud and Oedipus, it's all about untreated psychosis" . British Journal of Ophthalmology. 96 (8): 1056–1057. doi:10.1136/bjophthalmol-2012-301531. PMID   22373824. S2CID   20826549. Archived from the original on 2018-03-16. Retrieved 2018-03-15.
  4. Taylor, Sharon (7 September 2020). "Dodging the Draft in the Old Country". The Librarians. National Library of Israel. Archived from the original on 9 November 2021. Retrieved 9 November 2021.
  5. Grissom, Brandi (2013-02-24). "Andre Thomas: Gaps in the Mental Health Code". The Texas Tribune. Archived from the original on 2021-08-04. Retrieved 2024-07-19.
  6. Grissom, Brandi (2013-02-26). "Andre Thomas: Questions of Competence, Justice". The Texas Tribune. Archived from the original on 2021-08-05. Retrieved 2024-07-19.
  7. Quatrino, Nina (2020-02-08). "Sherman man on death row wants new trial". KXII. Archived from the original on 2021-08-04. Retrieved 2024-07-19.
  8. Associated Press (2023-02-19). "Death row inmate Andre Thomas who cut out eyes, ate one seeks clemency". New York Post. Archived from the original on 2024-07-19. Retrieved 2024-07-19.
  9. Narins, Elizabeth (2018-03-09). "Kaylee Muthart Talks About Gouging Out Her Own Eyes On Crystal Meth". Cosmopolitan. Archived from the original on 2018-03-15. Retrieved 2018-03-16.
  10. Feit, Noah (2018-02-22). "Mom of woman who gouged eyes out tells "People" she was going to have her committed". thestate. Archived from the original on 2018-03-16. Retrieved 2018-03-15.
  11. Feit, Noah (2018-03-18). ""The world just got darker," SC woman who gouged out her eyes talks about ordeal". thestate. Archived from the original on 2018-03-14. Retrieved 2018-03-15.
  12. Davis, Kelly (12 September 2021). "Lawsuit: Jail video shows deputy watched as inmate blinded herself". San Diego Union Tribune. Archived from the original on 7 November 2021. Retrieved 7 November 2021.
  13. Davis, Kelly (19 October 2022). "San Diego County will pay $4.35 million to woman who blinded herself in jail" . Retrieved 1 November 2022.