| A Case of Eyeball Perforation Through Self-injury Found in a Narcoleptic Patient. |
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Jung Il Han, Byung Joo Song, Young Joo Lee |
1Department of Ophthalmology, College of Medicine, Hanyang University, Kuri, Korea. song@hanyang.ac.kr
2Department of Neurology, College of Medicine, Hanyang University, Kuri, Korea. |
| 기면증 환자에서 자해에 의한 안구 천공상 1예 |
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한정일 ( Jung Il Han ) , 송병주 ( Byung Joo Song ) , 이영주 ( Young Joo Lee ) |
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| Abstract |
PURPOSE
Narcolepsy is a specific neurologic syndrome consisting of excessive daytime drowsiness, cataplexy, and the additional phenomena of sleep paralysis and intense dreamlike hallucinations at sleep-wake transitions. We are reporting a patient with narcolepsy whose repeated self-injury caused traumatic eyeball perforation. METHODS: A 26-year-old male with narcolepsy injured himself, which resulted in eyeball perforation in his both eyes. We diagnosed him as traumatic corneal laceration, traumatic cataract, and vitreous opacity due to lens material in vitreous in both eyes. RESULTS: After improvement of narcoleptic symptom and healing of corneal perforation, we performed cataract extraction and pars plana vitrectomy under local anesthesia. During operation, we found preretinal gliosis at superior portion of optic disc and subretinal hemorrhage in the right eye. We observed successful improvement in visual acuity through intraocular lens implantation. |
| Key Words:
Eyeball perforation;Narcolepsy;Self-injury;Traumatic Cataract |
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