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Stability of Intraocular Pressure After Retinal Reattachment Surgery During Electroconvulsive Therapy for Intractable Self-Injury in a 12-Year-Old Autistic Boy

Wachtel, Lee Elizabeth MD*; Reti, Irving Michael MBBS; Ying, Howard MD

doi: 10.1097/YCT.0b013e31829b2d61
Case Reports

Abstract: 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.

From the *Kennedy Krieger Institute, Johns Hopkins School of Medicine and †Johns Hopkins School of Medicine, Baltimore, MD.

Received for publication April 2, 2013; accepted May 8, 2013.

Reprints: Lee Elizabeth Wachtel, MD, Kennedy Krieger Institute, 707 N Broadway St, Baltimore, MD 21205 (e-mail: wachtel@kennedykrieger.org).

The authors have no conflicts of interest or financial disclosures to report.

© 2014 by Lippincott Williams & Wilkins