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).
Thakker MM, Usha KR. Orbital Foreign Body and Ruptured Globe From Needlefish Impalement. Arch Ophthalmol. 2006;124(2):284. doi:10.1001/archopht.124.2.284