Photo Essay
February 2006

Orbital Foreign Body and Ruptured Globe From Needlefish Impalement

Author Affiliations

Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006

Arch Ophthalmol. 2006;124(2):284. doi:10.1001/archopht.124.2.284

A 31-year-old fisherman was brought to Aravind Eye Hospital, Madurai, India, after a needlefish jumped out of the water, striking the patient above the left eye with its jaw (Figure 1A). The needlefish jaw was cut at the entry site, leaving an embedded portion lodged within the orbit.

Examination of the left eye revealed bare light perception, a fixed and dilated pupil, afferent pupillary defect, absent motility, lid edema, proptosis, and vitreous hemorrhage (Figure 1B).

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