Fishhook Injury to the Eyelid

Abstract

Fishhook injuries are most commonly seen among adult and adolescent anglers. However, children can also be injured by fishhooks. We present the case of an 11-year-old boy with an eyelid fishhook injury that was successfully managed in the emergency department. We review a variety of procedures that can be used to remove embedded fishhooks, including the suitability, advantages, and disadvantages of each method.

Fishing for Trouble: A Novel Surgical Technique for Penetrating Fishhook Injuries of the Eyelid

“…Several other techniques with good surgical outcomes have been documented in the literature, but they require extra incisions, instruments, and operating time [ 1 , 2 ]. The vertical eyelid splitting technique is useful when there is a risk of globe penetration, and further ocular damage is inevitable due to the low visibility of the barb [ 3 ].…”

“…The advance and cut technique is widely used for extra-ocular fishhook injuries [ 1 ]. The shank of a single-barbed hook is grasped firmly with surgical clamps, and the point of the barb is guided superficially to create a new wound opening.…”

“…Penetrating globe injuries and removal techniques have been well documented in the literature [ 1 - 3 ]. However, there are few reports of fishhook eyelid injuries, especially in pediatric cases.…”