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Journal of ECT:
doi: 10.1097/YCT.0b013e31829b2d61
Case Reports

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

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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.

Copyright © 2014 by Lippincott Williams & Wilkins

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