Automutilation of the XXXX . I. Ophthalmological aspects.

@entity1 @entity267 @entity75 @entity146
Automutilation of the @entity267 occurs more frequently than is generally supposed. The @entity1 , particularly at his first visit, certainly will not reveal the cause of the @entity75 . In two University Eye Clinics 19 @entity1 were seen in whom the diagnosis of automutilation of the @entity267 could be made. It is important for the ophthalmologist to bear the possibility of automutilation in mind. In 6 of our @entity1 corneal grafts were performed. All these grafts failed because of further automutilation. Corneal transplantation is certainly not indicated; these operations were performed because the @entity1 's true condition had not been spotted in time. Better forms of treatment are tarsorrhaphy or the application of closely occluding bandages. In this way fair results were obtained in 2 cases. It is wrong to force the @entity1 to a confrontation (i.e. to tell him that automutilation is suspected). Confrontation can lead to more severe @entity146 . In all cases @entity146 treatment is absolutely essential. The ophthalmological prognosis for this condition is poor and @entity146 help is quite often refused.
