A Case of Penetrating Fish Hook Ocular Injury

Soo Han Kim; Ie Na Yoon

doi:10.3341/jkos.2014.55.7.1111

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Kim and Yoon: A Case of Penetrating Fish Hook Ocular Injury

Case Report

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

Published online: 30 August 2014

DOI: https://doi.org/10.3341/jkos.2014.55.7.1111

A Case of Penetrating Fish Hook Ocular Injury

Soo Han Kim, MD, Ie Na Yoon, MD, PhD

Department of Ophthalmology, Yonsei University Wonju College of Medicine, Wonju, Korea

Address reprint requests to Ie Na Yoon, MD, PhD, Department of Ophthalmology, Wonju Severance Christian Hospital, #20 Ilsan-ro, Wonju 220-701, Korea, Tel: 82-33-741-1346, Fax: 82-33-741-1144 E-mail: bswhitey@hanmail.net

Received 11 January 2014 Revised 5 March 2014 Accepted 24 June 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Fish hook, Fishing injury, Foreign body removal, Penetrating ocular injury, Sports injury

References

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Figure 1.

Anatomy of fish hook.

Figure 2.

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

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.

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