Self Mutilation with Bilateral Rhegmatogenous Retinal Detachment in Tourette’s Syndorme Treated with Pars Plana Vitrectomy

Abstract

Gilles de la Tourette's syndrome, is a condition characterized by multiple motor and vocal tics, which appear in childhood and are often accompanied by behavioral symptoms. There are isolated reports which associate this syndrome with color vision deficiencies, self-induced haemophthalmous and dislocation of crystalline lens, retinal detachment and keratoconus. This is a case report of a known case of Gilles de la Tourette's Syndrome patient who presented with bilateral visual loss. The visual loss was as consequence of repeated attacks during which he punched his periorbital region with his hand. There was total rhegmatogenous retinal detachment with advanced proliferative vitreoretinopathy in both eyes. The left eye was treated with phacoemulsification vitrectomy. Retina was successfully attached and remained attached at 1 year follow up after silicone oil removal in the left eye.