Penetrating ocular fish hook injury!
A very fishy situation!
Many fishing hooks have barbs that make them difficult to remove if they embed in an eye. 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.
This man in his 30s presented with a fishhook injury to his left eye and lower eyelid after fishing. His visual acuity was hand motions, and intraocular pressure measurement was deferred in that eye. Findings from examination of the left eye showed a penetrating injury with a 3-pronged barbed fishhook, with 1 prong lodged in the anterior chamber and another lodged in the lower eyelid. The status of the crystalline lens was unclear owing to corneal oedema. No hypopyon (pus in the anterior chamber of the eye) was visualized. The patient was brought to the operating room for removal of the fishhook, closure of the cornea and eyelid lacerations, and injection of intracameral antibiotic drugs.
Good vision is usually restored without complications, and wearing proper eye protection is advised.
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