Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye

Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye

Changes in behavioral patterns can be the only indication of the presence of pain in nonverbal patients. Phthisis bulbi results in shrinking, disorganization, and sometimes severe inflammation of the ocular globe and can occur after eye injury or multiple eye surgeries. Chronic tearing, frequent eye...

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Main Authors: Audrey C. Ko, Kelly H. Yom, Don O. Kikkawa
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993618303141
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spelling doaj-0f7d7745ed5545e7a49ba0dbe8e9118d2020-11-25T00:10:23ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-06-0114110111Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eyeAudrey C. Ko0Kelly H. Yom1Don O. Kikkawa2Department of Ophthalmology and Visual Sciences, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA; Corresponding author. Clinical Assistant Professor Department of Ophthalmology and Visual Sciences, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.Department of Ophthalmology and Visual Sciences, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USADepartment of Ophthalmology, University of California, San Diego, 9415 Campus Point Drive, La Jolla, CA, 92093, USAChanges in behavioral patterns can be the only indication of the presence of pain in nonverbal patients. Phthisis bulbi results in shrinking, disorganization, and sometimes severe inflammation of the ocular globe and can occur after eye injury or multiple eye surgeries. Chronic tearing, frequent eye rubbing, and self-injurious behavior focused around the eye and periocular region may indicate ocular discomfort in nonverbal patients. In eyes that become painful and refractory to medical treatment, ocular evisceration or enucleation can provide immediate pain relief. An ocular prosthesis provides excellent cosmetic results to restore normal facial appearance after surgery. Keywords: Blind painful eye, Phthisis bulbi, Enucleation, Evisceration, Self-injurious behavior, Nonverbalhttp://www.sciencedirect.com/science/article/pii/S2451993618303141
collection DOAJ
language English
format Article
sources DOAJ
author Audrey C. Ko
Kelly H. Yom
Don O. Kikkawa
spellingShingle Audrey C. Ko
Kelly H. Yom
Don O. Kikkawa
Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
American Journal of Ophthalmology Case Reports
author_facet Audrey C. Ko
Kelly H. Yom
Don O. Kikkawa
author_sort Audrey C. Ko
title Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
title_short Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
title_full Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
title_fullStr Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
title_full_unstemmed Resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
title_sort resolution of self-injurious behavior in a nonverbal and developmentally delayed patient after surgical treatment of a blind painful eye
publisher Elsevier
series American Journal of Ophthalmology Case Reports
issn 2451-9936
publishDate 2019-06-01
description Changes in behavioral patterns can be the only indication of the presence of pain in nonverbal patients. Phthisis bulbi results in shrinking, disorganization, and sometimes severe inflammation of the ocular globe and can occur after eye injury or multiple eye surgeries. Chronic tearing, frequent eye rubbing, and self-injurious behavior focused around the eye and periocular region may indicate ocular discomfort in nonverbal patients. In eyes that become painful and refractory to medical treatment, ocular evisceration or enucleation can provide immediate pain relief. An ocular prosthesis provides excellent cosmetic results to restore normal facial appearance after surgery. Keywords: Blind painful eye, Phthisis bulbi, Enucleation, Evisceration, Self-injurious behavior, Nonverbal
url http://www.sciencedirect.com/science/article/pii/S2451993618303141
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AT kellyhyom resolutionofselfinjuriousbehaviorinanonverbalanddevelopmentallydelayedpatientaftersurgicaltreatmentofablindpainfuleye
AT donokikkawa resolutionofselfinjuriousbehaviorinanonverbalanddevelopmentallydelayedpatientaftersurgicaltreatmentofablindpainfuleye
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