Aiello L P, Iwamoto M, Guyer D R
Wilmer Ophthalmological Institute, Johns Hopkins University Hospital, Baltimore, MD 21205.
Ophthalmology. 1992 Jun;99(6):862-6. doi: 10.1016/s0161-6420(92)31881-0.
Ocular penetrating fish-hook injuries represent a rare yet potentially devastating ocular trauma. To date, only five cases have been reported in the medical literature. The authors present five new cases with long-term follow-up.
All individuals who presented to the Wilmer Ophthalmological Institute emergency room with ocular fish-hook injuries between 1974 and 1990 were identified, and ophthalmic follow-up evaluations were performed.
Individuals were male, between the ages of 10 and 27, with follow-up evaluation of 2.0 to 15.5 years (mean, 6.7 years). The left eye was involved in 80% and in no instance had a single hook penetrated the lid and globe simultaneously. Initial visual acuity was uniformly poor (20/200 or worse). Using specialized surgical techniques, ultimate visual outcome was excellent in 80% of cases (4 of 5 with visual acuity of 20/30 or better). One eye was enucleated because of panendophthalmitis after delayed wound closure. Similar overall results are achieved when previous reports are included in the analysis (90% with visual acuity of 20/40 or better).
These results suggest that penetrating ocular fish-hook injuries may have an excellent long-term prognosis if prompt, appropriate surgical intervention is accomplished.
眼部穿透性鱼钩伤是一种罕见但可能具有毁灭性的眼外伤。迄今为止，医学文献中仅报道过5例。作者报告5例新病例并进行了长期随访。
确定1974年至1990年间因眼部鱼钩伤就诊于威尔默眼科研究所急诊室的所有患者，并进行眼科随访评估。
患者均为男性，年龄在10至27岁之间，随访时间为2.0至15.5年（平均6.7年）。80%的患者左眼受伤，且无一例鱼钩同时穿透眼睑和眼球。初始视力均较差（20/200或更差）。采用专门的手术技术，80%的病例（5例中有4例）最终视力结果极佳（视力为20/30或更好）。一只眼睛因伤口延迟闭合后发生全眼球炎而被摘除。将先前的报告纳入分析时，也能得到类似的总体结果（90%的患者视力为20/40或更好）。
这些结果表明，如果能迅速进行适当的手术干预，穿透性眼部鱼钩伤可能具有良好的长期预后。
