Agrawal Rupesh, Laude Augustinus, Taneja Mukesh
Department of Ophthlamology, National Healthcare Group Eye Institute @ Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Int Ophthalmol. 2012 Jun;32(3):269-71. doi: 10.1007/s10792-012-9551-3. Epub 2012 Mar 29.
The objective of this case report is to report two cases of fish-hook injury to the eye and ocular adnexa with review of literature. Both patients with fish-hook injuries were professional fishermen. The first subject was hit in his right eye by a hook which became embedded in the right cornea. He cut off the line but made no attempt to remove the hook and presented to the emergency department with the hook hanging from his right eye. Under general anaesthesia, the hook was rotated out without causing any further damage to the cornea and intraocular structures. The second subject was reeling the hook back to shore when it hit him in the face and embedded itself in the upper eyelid. He was immediately taken to the emergency department and after careful examination the eye was found to be unharmed and the hook was removed through a small incision under local anaesthesia. Fish-hook injuries, though rare, can result in visual morbidity. The hook should be removed under careful examination using the correct technique. The shaft of the hook should be left long and no attempt should be made by the subject or any non-trained person to remove it as doing so can result in further damage.
本病例报告旨在报告两例鱼钩致眼及眼附属器损伤的病例，并对相关文献进行综述。两名鱼钩损伤患者均为职业渔民。首例患者右眼被鱼钩击中，鱼钩嵌入右眼角膜。他切断了鱼线，但未尝试取出鱼钩，带着鱼钩挂在右眼上的状态前往急诊科。在全身麻醉下，鱼钩被旋转取出，未对角膜和眼内结构造成进一步损伤。第二例患者在将鱼钩收回到岸边时，鱼钩击中他的面部并嵌入上眼睑。他立即被送往急诊科，经过仔细检查，发现眼睛未受损伤，在局部麻醉下通过小切口取出了鱼钩。鱼钩损伤虽罕见，但可导致视力损害。应在仔细检查的情况下使用正确技术取出鱼钩。鱼钩的杆应留长，患者或任何未经培训的人员都不应试图取出鱼钩，因为这样做可能会导致进一步损伤。
