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To the Editor.
—In the September 1992 issue of the Archives, Aiello et al1 described a technique of removing a fishhook from the cornea. They cut off the tip and barb with wire-cutter pliers and then backed the fishhook out through the initial penetration site. If a wire cutter is not available, then an alternate technique is to crimp the barb up flush against the shaft of the hook with a small needle-nose pliers—an instrument present in most tackle boxes—and then back the hook out. Much less effort is required to flatten a barb, and this reduces the likelihood of tearing the entire hook through the cornea.Another problem as illustrated in the photograph in their article is that the large head of the wire cutter obscures the cornea and hook beneath it. The needle-nose pliers is small, so that one can visualize and grasp the other end of
Coyle JT. Removing Penetrating Fishhooks. Arch Ophthalmol. 1993;111(4):429. doi:10.1001/archopht.1993.01090040019009