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Ocular mutilation associated with sensory phenomena in Tourette’s syndrome

Self-injurious behaviors (SIBs) have been known to occur with Tourette’s syndrome (TS). We present two cases with ocular self-mutilation associated with TS. The first case had significant impulsivity and emotional dysregulation and was found to be resistant to all forms of treatment. The second case had an onset in adulthood with good response to pharmacotherapy. The SIB in both cases was associated with the underlying sensory phenomenon (SP) which may have treatment implications.