EyeCase
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 anesthesia the hook was manipulated so that the intraocular barb emerged through the angle. The barb was snipped off with wire cutters and the shaft then removed through the entry wound. Removal of a fishhook penetrating the globe can be very challenging. Several techniques have been described in the literature. One such technique is the "advance and cut method," in which the hook is grasped and rotated to create a new exit site for the tip. The barb is then cut off using wire cutters, and the barbless hook is backed out through the entry site. If the hook is located primarily within the corneal stroma, a perpendicular incision can be made in the corneal tissue anterior to the hook. In cases in which the fishhook penetrates the retina, the needle cover technique can be useful. A large-bore needle is inserted into the entry wound and the barb is engaged in the needle lumen. The needle and hook are then removed simultaneously to minimize tissue damage.
