Penetrating eyelid injury: a case report and review of literature

Abstract

Introduction: In literature, many different types of foreign objects have been found to have caused eye injuries. These objects can range from organic to inorganic matter such as glass, wood, pencil, nails and fishhooks. Once the injury is recognized, removal of the foreign body and technique used in the management of the injury is very important to reduce further ocular damage. This case report investigates an injury caused by an object similar to a fishhook that pierced into the eyelid in the opposite direction to normal.

Fishhook Injury to the Eyelid

“…Essentially, the eyelid is divided, allowing the hook to be removed with ease. 8,9 The eyelid is repaired immediately after fishhook removal. Cases published using this method have demonstrated excellent outcomes.…”

“…7 The orbit should be evaluated for visual acuity, extraocular movements, pupillary distortion, corneal abrasion, hyphema, cataract, prolapsed uveal tissue, and vitreous hemorrhage. 8 Occasionally, imaging may be needed to clarify structures involved. Both x-ray and computed tomography have been used in aiding management decisions when deciding on structures involved, depth, and removal strategy.…”

“…8 Anxiety should also be addressed, especially in younger children. Consideration should be given to distraction techniques and sedation if necessary.…”

Fishhook Removal: Case Reports and a Review of the Literature

“…It is typically then left open, as these wounds tend to be contaminated. After removal, antibiotic ointment and a simple dressing are applied (7). Antibiotics can be considered, but there is not a formal recommendation.…”

Discharging sinus from the eyelid following accidental impaction of wood fragment

“…2 Injuries to the eye and its surrounding tissues may result from several types of foreign bodies, which will determine the clinical presentation of the patient. 3 The need to carefully examine the injured eye is germane since some penetrating eye injuries can easily be missed; some injuries may be self-sealing and signs of abnormality are subtle. 2 A visual acuity of 6/6 in a penetrating eye injury does not necessarily exclude serious problems apart from the resultant ocular deformity.…”