Autoenucleation is a rare form of self-mutilation typically associated with psychiatric disorders such as schizophrenia, substance-induced psychosis and bipolar disorder. The act is usually unilateral, although bilateral attempts are also well documented in the literature. It is a case study involving a female patient (NN) diagnosed with schizoaffective disorder who self-enucleated her right eye following sexual intercourse with a fellow patient, and was forcefully prevented by staff from enucleating the second eye. We report recurrent episodes of her illness culminating in this severe act of self-mutilation. The motivational reasons behind this form of self-harm along with differential diagnosis and potential treatment options are discussed in the context of the available literature. Autoenucleation is commonly associated with religious and sexual delusions, and patients are thought to be at a greater risk of further self-harm. Timely antipsychotic treatment is likely to reduce the risk of such extreme forms of self-harm, although they can occur despite robust therapeutic intervention and treatment attempts. While self-inflicted eye injuries are rare, their prevention in what is typically a difficult patient group is fraught with challenges.

中文翻译：

---

一名38岁妇女被诊断为情感分裂症患者右眼自我摘除：一例报告

自体去核是一种罕见的自我毁伤形式，通常与精神病如精神分裂症，物质诱发的精神病和躁郁症有关。该行为通常是单方面的，尽管文献中也充分记录了双边尝试。这是一个案例研究，涉及一名被诊断患有分裂情感障碍的女性患者（NN），在与另一位患者发生性交后，她将自己的右眼摘除，并被工作人员强行阻止其摘除第二只眼。我们报告她的疾病反复发作，最终导致这种严重的自残行为。在现有文献的背景下，讨论了这种形式的自我伤害背后的动机原因以及鉴别诊断和潜在的治疗选择。自体去核通常与宗教和性幻想有关，并且患者被认为有更大的进一步自我伤害的风险。及时的抗精神病药物治疗可能会降低这种极端形式的自我伤害的风险，尽管尽管进行了有力的治疗干预和治疗尝试，但仍可能发生这种情况。尽管自残性眼外伤很少见，但如何预防通常是困难的患者群体却充满了挑战。