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JAMA Ophthalmology Clinical Challenge
March 2015

Penetrating Ocular Fishhook Injury

Author Affiliations
  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
JAMA Ophthalmol. 2015;133(3):347-348. doi:10.1001/jamaophthalmol.2014.4778

A man in his 30s presented with a fishhook injury to his left eye and lower eyelid after fishing in Everglades National Park. 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 (Figure 1). The status of the crystalline lens was unclear owing to corneal edema. No hypopyon 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.