DR. AVANI SONI

, Dr. ANITHA VENUGOPAL, DR. ADITYA GHORPADE

Abstract

An 11-year-old boy presented with a history of accidental injury with a fishhook, 2 hours prior. The attached rope with the bait was cut by the attender. The hook was dangling over the patient’s cheek. On slit lamp examination, fishhook was embedded obliquely into the cornea in the mid periphery at 8 o clock position in the right eye. It was a full-thickness injury with the tip and barb stuck in the iris tissue close to the angle, curved outwards towards limbus. Lens was clear.

We tried the ‘back out method’, but iris tissue was getting pulled due to the entanglement of the tip. Due to the anticipated risk of iridodialysis and severe bleeding, we abandoned that approach.

We tried to enlarge primary incision with 15 degree sideport in a curvilinear fashion and disengagement of the barb tip from iris was done. It was removed with an oblique tangential motion. Corneal laceration was sutured with 4 interrupted 10-nylon sutures.