J Korean Ophthalmol Soc.  2014 Jul;55(7):1111-1114.

A Case of Penetrating Fish Hook Ocular Injury

• Kim SH
• Yoon IN

Abstract

PURPOSE
To report a case study of a penetrating fish hook ocular injury.
CASE SUMMARY
A 53-year-old male visited the emergency department complaining that he injured his eye with a fish hook. He had no specific ophthalmologic or medical history. A fish hook had penetrated the sclera 1.5 mm temporal to the limbus. The tip of the fish hook was visible at the posterior surface of the lens. His visual acuity was hand motion. The fish hook was removed through the entrance wound using the backout method. Anterior chamber irrigation and extracapsular cataract extraction with phacoemulsification were performed and intracameral antibiotic injection administered. Intraocular lens implantation was performed at a later date. Presently, the patient has a best correctional visual acuity of 0.7 with no signs of infections.
CONCLUSIONS
In cases of ocular fish hook injury, determining a removal method is crucial for recovery. Herein, we report a case of successfully treated fish hook ocular perforation along with a literature review.

Keyword

Fish hook; Fishing injury; Foreign body removal; Penetrating ocular injury; Sports injury

MeSH Terms

Anterior Chamber
Athletic Injuries
Cataract Extraction
Emergency Service, Hospital
Hand
Humans
Lens Implantation, Intraocular
Male
Middle Aged
Phacoemulsification
Sclera
Visual Acuity
Wounds and Injuries

Figure

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  Figure 1. Anatomy of fish hook.

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  Figure 2. Slit lamp microscope photograph of patient showing perforated sclera by fish hook.

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  Figure 3. Digital photograph of the fish hook. Difference in barb is noted with arrow. (A) Same fish hook with intact barb. (B) Fish hook removed from patient showing damaged barb.

Reference

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