{'fraction_non_alphanumeric': 0.02311111111111111, 'fraction_numerical': 0.0071111111111111115, 'mean_word_length': 5.119565217391305, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Drug induced autoenucleation with resultant chiasmal damage

Self enucleation or “oedipism”1 is a rare form of self mutilation, occurring with paranoid delusions, either as a result of a drug related toxic psychosis or in functional psychoses, such as schizophrenia. It is most often described in acutely psychotic patients, who have religious or sexual delusions.2

We report a case of self enucleation of a right eye in a 19 year old male—induced by drug psychosis. The force of autoenucleation traumatised the chiasm resulting in a left temporal field defect. Only two cases of contralateral field defect secondary to chiasmal damage have been reported in the literature.3,4 Many drugs are known to cause hallucination leading to self mutilation.

Deliberate self harm (DSH)5 is a well known entity which varies from mild (skin picking and hair pulling) to severe forms of self mutilation like self amputation and self enucleation.5 DSH is known to result from delusions and command hallucinations occurring in psychotic and mood disorders, dementia, personality disorder, drug misuse, and mental retardation. In adults, …