Fishing hook accident.
A pretty self-explanatory eye injury sustained while fishing from a fishing hook!
A barbed fish hook embedded in the eye is an injury unlikely to be forgotten by any ophthalmic surgeon.
This patient was casting for salmon while his line was deflected by small twigs, and the hook embedded itself in his right eye. He cut off the line but made no attempt to remove the hook.
Under general anaesthesia, the hook was manipulated so that the intraocular barb emerged through the angle. The barb was snipped off with wire cutters and the shaft was then removed through the entry wound.
Many fishing hooks have barbs that make them difficult to
remove if they embed in an eye. If one does catch a hook in the eye, it is important not to try to remove it yourself, as you may cause more damage.
Fish hook injuries most commonly occur in the hand. The standard method used to remove them from this site is to push the barb out through the skin, snip it off, and then rotate the shaft backwards along the entry path. If the hook is simply dragged backwards with the barb in situ it produces much greater soft tissue damage.
Good vision is usually restored without complications, and wearing proper eye protection is advised.
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