DR. R.RAM SUDARSHAN

DR. JAYANT KUMAR, DR. K. NARESH BABU

Abstract

A 26-year-old male presented with decreased vision in left eye (OS) following attack by a fish while swimming in a pond. His best corrected visual acuity (BCVA) was hand movements in OS and 20/20 in right eye (OD). Fundus examination and ultrasonography B scan confirmed the presence of traumatic endophthalmitis in OS. Wound exploration confirmed the presence of a foreign body near limbus, which was removed and found to be a cartilaginous fish tissue, 4.5 millimeters in length. Pars plana vitrectomy was done and intravitreal antibiotics were administered. The BCVA improved to 1/60 in OS in the subsequent visit. This case highlights a rare form of ocular injury and the need for early wound exploration in such cases.