Fish hook injury of eyelid: An unusual case

Mishra, Samarth; Rout, Jagadish Prasad; Sharma, Pramod Kumar; Govindaraj, Bhavna; Mahapatra, Bidisha

doi:10.4103/0189-9171.195201

Cited by 4 publications

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“…All ocular structures can be involved. The damage may vary from a superficial eyelid injury [3, 4] to a severe, penetrating injury [5, 6, 10]. In patients with fish hook injuries the anterior segment structures are most commonly damaged [11–13].…”

Section: Discussionmentioning

confidence: 99%

Open globe and penetrating eyelid injuries from fish hooks

et al. 2019

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BackgroundA few case reports have described accidental eye injuries caused by fish hooks. The severity of ocular injuries is dependent on the involved ocular structures. Severe ocular injuries due to fish hooks are rare. We describe open globe and penetrating eyelid injuries from fish hooks at the Baltic Sea.MethodsNine patients with traumatic ocular injuries caused by fish hooks were included. The following parameters were evaluated: severity of injury, best corrected visual acuity at admission and last follow-up, and surgical treatment.ResultsAll nine patients were male. Age ranged between 7 and 51 years with a median of 13 years. Sixty-seven percent of the patients were children. Four of the nine patients were 9 years or younger. In 5 eyes (55%) the injury was limited to the eyelid. An open globe injury was found in 4 patients (45%). The mean follow-up was 16.7 ± 32.8 months. All patients required surgical treatment. The number of operations ranged from 1 to 3, with a mean of 1.4. At admission and last follow-up, patients with eyelid injuries showed a median best corrected visual acuity (BCVA) of logMAR 0.0. Patients with open globe injuries showed a median best corrected visual acuity of logMAR 1.5 at admission, and of logMAR 0.6 at last follow-up.ConclusionsNearly half of the patients suffered severe penetrating injuries. Especially children misjudge the risk potential of fishing due to their lack of experience. Fishing glasses should be worn not only for UV protection, but also as injury prevention strategy.

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