An especially dangerous behavior observed in some forensic: and security ho
spital populations Is assaultive eye gouging. Although a number of case rep
orts in the literature concern auto-enucleation, gouging out the eyes of an
other is virtually unmentioned. We present a case series of eye gaugers (n
= 10) gathered through clinical contributions from several forensic populat
ions in the United States and Russia. Four subjects were psychotic during t
he eye-gouging episode, one was only mentally retarded, and five, who were
neither psychotic nor retarded, deliberately injured victims' eyes during a
cts of extreme sexual violence.