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April 1989

Fish Hook Removal From Vitreous and Retina

Arch Ophthalmol. 1989;107(4):493. doi:10.1001/archopht.1989.01070010507013

To the Editor.  —A simple, effective technique was used to remove a large-gauge fish hook that had penetrated retina and vitreous and caused a retinal detachment.

Report of a Case.  —A 56-year-old man was referred shortly after accidentally hooking his left eye with one barbed hook of a triple fish hook designed for catching 18-kg pike.On the patient's arrival in the hospital 5 hours after injury, visual acuity was 20/20 OD and 20/50 OS. One hook had penetrated the medial bulbar region of the left eye 5 mm posterior to the limbus (Figure).In the fundus there was a small peripheral retinal tear surrounded by a segmental 2-disc diameter retinal detachment superonasal to the horizontal meridian. Part of the curved shaft of the hook was seen in the vitreous inferior to the horizontal meridian, but the tip of the hook and most of the shaft were obscured by vitreous

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