ECT Post Eye Surgery: Two Cases and a Review of the Literature

Saad, Dahlia A.; Black, John L.; Krahn, Lois E.; Rummans, Teresa A.

doi:10.1097/00124509-200012000-00011

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…However, modification of the hemodynamic response and decrease of mass edema has allowed ECT to be safely performed in this population with neurologic disorders. Case reports exist for the successful use of ECT done in patients having the following: brain tumors with edema [43], intracranial vascular masses [44], status-post vitrectomy [45], metallic skull plates [46], tumors and encephalomalacia [47], and brain-stimulating electrodes in place [48]. In patients with these conditions, the sizes and stability of lesions are proportional to risk and adverse outcomes.…”

Section: Other Miscellaneous Conditionsmentioning

confidence: 99%

Electroconvulsive therapy in the medically Ill

Christopher

2003

Curr Psychiatry Rep

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The use of electroconvulsive therapy (ECT) in the US continues to expand in the treatment of psychiatric disorders. Electroconvulsive therapy remains the "gold standard" for the treatment of major depression and a variety of other psychiatric and neurologic disorders. Because of the effectiveness and resurgence of ECT, more patients are considered good candidates for this treatment option. Overall, these patients are medication refractory and elderly, and thus more sensitive to polypharmacy. Additionally, these patients tend to have more coexisting medical problems, and often require that a practitioner have solid clinical knowledge of the fields of medicine and psychiatry. This article will review some of the most common comorbid conditions found in patients referred for ECT.

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Section: Other Miscellaneous Conditionsmentioning

confidence: 99%

Electroconvulsive therapy in the medically Ill

Christopher

2003

Curr Psychiatry Rep

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“…That patient had 9 treatments until remission, without any complication. Saad et al (2000) described two cases; one patient received ECT at 12 days post cataract surgery while the other patient received ECT one week post vitrectomy on one eye (a few years after that she received ECT 2.5 weeks post cataract surgery on the other eye) (Saad et al, 2000). There were no complications or adverse events for either patient.…”

Section: Discussionmentioning

confidence: 97%

Evaluation of the optic nerve head and peripapillary retinal nerve fiber layer thickness in patients receiving Electro-Convulsive Therapy

et al. 2017

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Background: Electroconvulsive therapy (ECT) is a method commonly used in the treatment of psychiatric disorders. As ocular side effects from OCT are less studied and discussed, the aim of this study was to evaluate the profile of the peripapillary retinal nerve fiber layer thickness in patients receiving ECT. Method: This study was performed on 30 patients who had indication for ECT. After recording demographic data, retinal nerve fiber layer thickness was measured by using spectral domain optical coherence tomography (Heidelberg Engineering, Heidelberg, Germany) of optic nerve head and peripapillary retinal nerve fiber layer. Results: Our results showed that for most of the studied variables, the normal range was observed in less than 85% of patients receiving ECT. Variables which were outside the normal range were: cup disk (C/D) ratio (right and left eyes were 50% and 46.7%, respectively), vertical C/D ratio (right and left eyes were 53.3% and 46.7%, respectively), and cup volume (right and left eyes were 53.3% and 33.3%, respectively). Conclusion: This study showed that a high percentage of patients receiving ECT had changes in the optic nerve head while intra-ocular pressure in these patients was normal. It is warranted for examiners to pay attention to diagnosis of normal tension glaucoma in patients receiving ECT.

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“…Management of underlying psychiatric conditions usually involves robust pharmacotherapy, inpatient psychiatric care, and electroconvulsive therapy (ECT) in treatment‐refractory cases. Although ECT is known to increase intraocular pressure (IOP) and data on the safety of ECT in patients after eye surgery remains scarce, the transient increase in IOP is probably of limited importance and should not be a contraindication to treatment in patients with eye prosthesis and surgical repair for such injuries .…”

Section: Discussionmentioning

confidence: 99%

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

Davis

Tripathi

2018

Journal of Forensic Sciences

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Self-enucleation is a severe form of self-injurious behavior which presents as an ophthalmologic and psychiatric emergency. It is usually known to occur with untreated psychosis, however, there have been reports of self-enucleation across various psychopathologies. We review a case documenting self-enucleation in the forensic setting in a patient with an unusual presentation and cluster of psychotic symptoms. Literature was reviewed using PubMed/Medline databases with key terms: "forensic science," "forensic psychiatry," "auto-enucleation," "self-enucleation," "Oedipism," "self-harm." This case is unique as it offers an alternative presentation to those most commonly depicted in current literature, helps highlight the sparsity of literature depicting self-enucleation in the forensic setting, and stimulates discussion around various potential differential diagnoses, management strategies and complications of self-enucleation within the forensic setting. It is prudent to emphasize need for aggressive and collaborative treatment for the forensic population regardless of psychopathology, presentation, or propensity for secondary gain.

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ECT Post Eye Surgery: Two Cases and a Review of the Literature

Cited by 13 publications

References 12 publications

Electroconvulsive therapy in the medically Ill

Electroconvulsive therapy in the medically Ill

Evaluation of the optic nerve head and peripapillary retinal nerve fiber layer thickness in patients receiving Electro-Convulsive Therapy

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

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ECT Post Eye Surgery: Two Cases and a Review of the Literature

Cited by 13 publications

References 12 publications

Electroconvulsive therapy in the medically Ill

Electroconvulsive therapy in the medically Ill

Evaluation of the optic nerve head and peripapillary retinal nerve fiber layer thickness in patients receiving Electro-Convulsive Therapy

A Case of Self‐Enucleation in an Incarcerated Patient: Case Report and Review of Literature

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Evaluation of the optic nerve head and peripapillary retinal nerve fiber layer thickness in patients receiving Electro-Convulsive Therapy