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]
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". [9] The incident left Muthart permanently blind, though she later said "I'm happier now than I was before all this happened". [10] [11] [12]
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. [13] In October 2022, she settled with the county for $4.35m. [14]
Ophthalmology is a clinical and surgical specialty within medicine that deals with the diagnosis and treatment of eye disorders. A former term is oculism.
Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. The eye that is pointed at an object can alternate. The condition may be present occasionally or constantly. If present during a large part of childhood, it may result in amblyopia, or lazy eyes, and loss of depth perception. If onset is during adulthood, it is more likely to result in double vision.
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.
Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. The eye's natural lens is usually replaced with an artificial intraocular lens (IOL) implant.
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.
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.
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.
Orbital cellulitis is inflammation of eye tissues behind the orbital septum. It is most commonly caused by an acute spread of infection into the eye socket from either the adjacent sinuses or through the blood. It may also occur after trauma. When it affects the rear of the eye, it is known as retro-orbital cellulitis.
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.
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.
Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead.
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.
Childhood blindness is an important contribution to the national prevalence of the disability of blindness. Blindness in children can be defined as a visual acuity of <3/60 in the eye with better vision of a child under 16 years of age. This generally means that the child cannot see an object 10 feet away, that another child could see if it was 200 feet away.
Mooren's ulcer is a rare idiopathic ocular disorder that may lead to blindness due to progressive destruction of the peripheral cornea. Although the etiology of Mooren's ulcer is poorly understood, recent evidence suggests that the pathogenesis of this disease appears to be the result of an autoimmune process directed against molecules expressed in the corneal stroma.
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.
Perry Rosenthal, was a Canadian-born American eye surgeon and professor of ophthalmology, known for his work in the development of the first gas-permeable scleral contact lens.
Congenital blindness refers to blindness present at birth. Congenital blindness is sometimes used interchangeably with "Childhood Blindness." However, current literature has various definitions of both terms. Childhood blindness encompasses multiple diseases and conditions present in ages up to 16 years old, which can result in permanent blindness or severe visual impairment over time. Congenital blindness is a hereditary disease and can be treated by gene therapy. Visual loss in children or infants can occur either at the prenatal stage or postnatal stage. There are multiple possible causes of congenital blindness. In general, 60% of congenital blindness cases are contributed from prenatal stage and 40% are contributed from inherited disease. However, most of the congenital blindness cases show that it can be avoidable or preventable with early treatment.
Hamida Saiduzzafar was an Indian ophthalmologist.
Focal choroidal excavation (FCE) is a concavity in the choroidal layer of the eye that can be detected by optical coherence tomography. The disease is usually unilateral and not associated with any accompanying systemic diseases.
Justine R. Smith AM is an Australian ophthalmic surgeon and vision researcher. Today she is based at Flinders University and Flinders Medical Centre in Adelaide, Australia. Smith was awarded Member of the Order of Australia "for significant service to ophthalmology, particularly research and education" in the 2023 King's Birthday Honours. She received the Flinders University Alumni Convocation Medal in 2022, the Gold Medal of the International Ocular Inflammation Society in 2023, and the Joanne Angle Service Award from the Association for Research in Vision and Ophthalmology in 2024.