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May 1986

Eye Injuries Induced by a Barbed Three-Pronged Fishing Spear

Arch Ophthalmol. 1986;104(5):639. doi:10.1001/archopht.1986.01050170029007

To the Editor.  —Perforation of the eyeball is one of the main causes of unilateral blindness and one of the most frequent causes of enucleation. The causes for corneal perforation are numerous,1 fishhook injury being one of them.2,3We herein describe a patient who was injured by another fishing device.

Report of a Case.  —A 64-year-old man was admitted urgently to Hadassah University Hospital, Jerusalem, after being injured by a three-pronged barbed fishing spear similar to Poseidon's arrow, which was misfired in his office (Fig 1). The left prong entered through the left nostril to the medial canthal area, lacerating on its way the left lacrimal sac and both canaliculi. The central prong penetrated through the right nostril, reaching the frontal bone without penetrating it (Fig 2). The third prong lay on the right cheek, while its sharp end perforated the right cornea. Consequently, a large corneal laceration