Pathomimia in a practice of an ophthalmologist

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Abstract

Non-suicidal self-inflicted injuries are encountered in the practice of doctors of all specialties. Within the framework of this article, a case of surgical treatment of a female patient with pathomimia and lagophthalmos will be presented.

About the authors

Vitalii V. Potemkin

Pavlov First St. Petersburg State Medical University; City Multidiscipline Hospital No. 2

Email: potem@inbox.ru
ORCID iD: 0000-0001-7807-9036
SPIN-code: 3132-9163

Cand. Sci. (Med.), Head of the Microsurgical Department (eyes) No. 5

Russian Federation, 6-8, L’va Tolstogo st., Saint Petersburg, 197022; Saint Petersburg

Olga A. Marchenko

City Multidiscipline Hospital No. 2

Email: oamarchenko@yandex.ru

Ophthalmologist

Russian Federation, Saint Petersburg

Elena V. Goltsman

City Multidiscipline Hospital No. 2

Email: ageeva_elena@inbox.ru
ORCID iD: 0000-0002-2568-9305

Ophthalmologist

Russian Federation, Saint Petersburg

Liliya K. Anikina

Pavlov First St. Petersburg State Medical University

Email: lily-sai@yandex.ru
ORCID iD: 0000-0001-8794-0457

Postgradeate student

Russian Federation, 6-8, L’va Tolstogo st., Saint Petersburg, 197022

Ekaterina K. Gladysheva

Pavlov First St. Petersburg State Medical University

Author for correspondence.
Email: gladysheva.e.k@ya.ru
ORCID iD: 0000-0001-9186-0994

Resident of the Department of Ophthalmology

Russian Federation, 6-8, L’va Tolstogo st., Saint Petersburg, 197022

References

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  21. Grebenyuk VN. Patomimii (obzor literatury). Vestnik dermatologii. 1977;(9):28–32. (In Russ.)

Supplementary files

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2. Fig. 1. Appearance of the wound before surgery, granulation tissue in the wound bed, profound pockets at the edges, incomplete eyelid closure (3 mm)

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3. Fig. 2. Multiple transplanted skin flaps, cicatricial deformity of the bridge of the nose

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4. Fig. 3. Spiral computed tomogram of orbits. a, b – air bubble at the right of the upper eyelid area

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5. Fig. 4. Stages of surgery: renewal of the wound edges (a) and removal of granulation tissue from the bottom and from the edges (b, c)

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6. Fig. 5. Stages of surgery. Behind-the-ear area: skin graft is removed (a), hemostasis (b), wound sutured with interrupted sutures (c)

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7. Fig. 6. Defect closure with a free skin flap (a), fixation with interrupted and running sutures (b)

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8. Fig. 7. Appearance of the wound. One month after surgery

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9. Fig. 8. Repeated surgical treatment: a – removal of granulation tissue and renewal of the wound edges; b – taking a skin flap from the behind-the-ear area; c – fixation of the skin flap

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Copyright (c) 2021 Potemkin V.V., Marchenko O.A., Goltsman E.V., Anikina L.K., Gladysheva E.K.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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