Open-globe injury caused by barbed fish hook repaired using the back-out method: a report of two cases

Fish hook open-globe injuries (OGIs) are challenging to repair surgically because of the backward-projecting barb near the hook's point that prevents withdrawal of the hook. The most commonly reported ophthalmic surgical technique for removal of barbed hooks is advance-and-cut, wherein the fish...

Full description

Saved in:
Bibliographic Details
Published in:Digital journal of ophthalmology 2021-03, Vol.27 (1), p.17-21
Main Authors: Justus, Sally, Pomerantz, Alexander, Tom, Lisa M, Yuan, Amy, Armstrong, Grayson W
Format: Article
Language:English
Subjects:
Case Report
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Fish hook open-globe injuries (OGIs) are challenging to repair surgically because of the backward-projecting barb near the hook's point that prevents withdrawal of the hook. The most commonly reported ophthalmic surgical technique for removal of barbed hooks is advance-and-cut, wherein the fish hook is pushed through an iatrogenic wound to the exterior of the globe, the barb is cut off, and the shank is backed out of the entry wound. We report 2 cases of zone I OGIs with retained fish hooks successfully repaired using the back-out technique. This strategy involves enlarging the entry wound to allow the entire hook and barb to be backed out, decreasing iatrogenic injuries and eliminating the need for wire cutters.
ISSN:1542-8958
1542-8958
DOI:10.5693/djo.02.2021.01.003