Stability of Intraocular Pressure After Retinal Reattachment Surgery During Electroconvulsive Therapy for Intractable Self-Injury in a 12-Year-Old Autistic Boy
SIB;
autism;
IOP;
ECT;
pediatric;
PROBLEM BEHAVIORS;
ECT;
CATATONIA;
PATIENT;
D O I:
10.1097/YCT.0b013e31829b2d61
中图分类号:
B84 [心理学];
C [社会科学总论];
Q98 [人类学];
学科分类号:
03 ;
0303 ;
030303 ;
04 ;
0402 ;
摘要:
We present a 12-year-old autistic boy who underwent electroconvulsive therapy (ECT) for intractable self-injury toward his head and eyes in the context of acute bilateral retinal detachment and reparative surgery. The patient received 3 ECTs before retinal reattachment surgery, and resumed ECT 2 weeks postoperatively. Bilateral intraocular pressures were monitored before and after the first 7 ECTs and intermittently after ECT for 10 months of maintenance ECT. There was no evidence of sustained intraocular pressure elevation or instability. This report supports the safety of ECT for repetitive self-injury in youth before and after emergent ophthalmologic surgery for trauma-related injury.