Assaultive Eye Injury and Enucleation .
A. O. Bukhanovsky, Anthony Hempel, W. Ahmed, J. R. Meloy, A. C. Brantley, D.
Cuneo, R. Gleyzer and A. R. Felthous,
Bull. Amer. Acad. Psychiatry & the Law
27(4): 590-602, 1999.
An especially dangerous behavior observed in some forensic and security hospital
populations is assaultive eye gouging. Although a number of case reports in the literature concern
auto-enucleation, gouging out the eyes of another is virtually unmentioned. We present a case
series of eye gougers (n = 10) gathered through clinical contributions from several forensic
populations in the United States and Russia. Four subjects were psychotic during the eye-gouging
episode, one was only mentally retarded, and five, who were neither psychotic nor retarded,
deliberately injured victims' eyes during acts of extreme sexual violence.