{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:05:51Z","timestamp":1777899951283,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T00:00:00Z","timestamp":1545609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>This report aims to illustrate a case of self-inflicted ocular and orbital injury, resulting in severe tissue loss and ophthalmoplegia in a patient with no known history of mental illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A 71-year-old male initially presented to the emergency department with significant tissue loss from his left upper and lower lids, orbital tissue loss and complete ophthalmoplegia, after reportedly tripping and falling onto his desk. He subsequently attended the emergency department on two further occasions with similar injuries, affecting the same and contralateral eye, whilst maintaining a traumatic cause for his injuries. He was eventually admitted to a psychiatric ward for mental health assessment. This report covers his progress as well as illustrating his injuries with images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self-harm is an important differential diagnosis in cases where the mechanism of injury does not correspond to the extent of injury or tissue loss. It can, however, be difficult to differentiate from accidental injury and even with repeated assessments, a formal psychiatric diagnosis may not be possible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933018819941","type":"journal-article","created":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T09:33:06Z","timestamp":1545643986000},"page":"78-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-inflicted bilateral ocular and eyelid injuries in an unsuspected individual"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-9239","authenticated-orcid":false,"given":"Emma","family":"Samia-Aly","sequence":"first","affiliation":[{"name":"Ophthalmology Trainee, Royal Shrewsbury and Telford NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerome","family":"Ha","sequence":"additional","affiliation":[{"name":"Oculoplastic Fellow, Royal Shrewsbury and Telford NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh","family":"Sagili","sequence":"additional","affiliation":[{"name":"Oculoplastic Consultant, Royal Shrewsbury and Telford NHS Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,24]]},"reference":[{"key":"bibr1-0036933018819941","doi-asserted-by":"publisher","DOI":"10.4103\/0975-5950.111392"},{"key":"bibr2-0036933018819941","unstructured":"Leicester Partnership NHS Trust. Mental Health care clustering booklet, www.leicspart.nhs.uk\/Library\/Trainingtoolkitlatestversion.pdf(2011\/2012, accessed 22 September 2018)."},{"key":"bibr3-0036933018819941","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701365"},{"key":"bibr4-0036933018819941","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.13764"},{"key":"bibr5-0036933018819941","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(95)00031-L"},{"key":"bibr6-0036933018819941","first-page":"470","volume":"45","author":"Kennedy BL","year":"1994","journal-title":"Hosp Community Psychiatry"},{"key":"bibr7-0036933018819941","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2016.1154164"},{"key":"bibr8-0036933018819941","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2015.10.010"},{"key":"bibr9-0036933018819941","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.85579"},{"key":"bibr10-0036933018819941","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.115.053017"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933018819941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933018819941","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933018819941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:18:53Z","timestamp":1777630733000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933018819941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,24]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/0036933018819941"],"URL":"https:\/\/doi.org\/10.1177\/0036933018819941","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,24]]}}}