Background: Self-inflicted eye injuries are not common but constitute one of the main forms of
non-suicidal self-injuries (NSSI). They can be seen in a variety of psychiatric conditions.
Method: This article presents a case report of a 14 year old female patient with major depressive disorder, features
of borderline personality disorder, and a history of trauma. We review the literature on self-inflicted eye
injuries and non-suicidal self-injury and discuss the relevance to this case.
Summary: The patient sustained bilateral self-inflicted ocular perforation with leakage of vitreous humor. She
denied any intention to commit suicide and had no clear immediate precipitant triggering the incident. The patient
was hospitalized with a plan to transfer to a residential treatment center for intensive dialectical behavioral
Discussion: The case discussed here appears to fit best into the impulsive NSSI category of the medical descriptive
model. The first line treatment for this condition is psychotherapy. Several psychodynamic and biochemical
theories have been proposed to describe the mechanism of this psychopathology; however, none
have been conclusive.