PURPOSE: To describe an obsessive-compulsive patient who developed blindness after self-inflicted repetitive optic nerve injury. METHODS: Case report. RESULTS: A myopic 46-year-old male became blind as a result of intermittent rubbing of his eyes, causing stretching of the optic nerves. Extensive ocular, neurologic and systemic work-ups were negative. Cerebral and orbital MR studies showed severe bilateral optic nerve atrophy. Psychiatric evaluation confirmed obsessive-compulsive personality. CONCLUSIONS: Self-inflicted optic nerve injury should be included in the differential diagnosis of progressive optic neuropathy in a young adult.
Detry-Morel, M., Philippart, P., Boschi, A., & Luts, A. (2002). Self-inflicted repetitive optic nerve injury: a case report. European Journal of Ophthalmology, 12(5), 440-442. https://hdl.handle.net/2078.5/134792 (Original work published 2002)