Bhat Sunayana, Noronha Dilon Denis, Ta Priyadarshini
Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India.
Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India
BMJ Case Rep. 2025 May 5;18(5):e265734. doi: 10.1136/bcr-2025-265734.
A young man in his early 20s presented with complaints of a sudden onset of painful blurring of vision and active bleeding from his right eye following an injury while fishing. Examination revealed a triangular laceration in the right lower lid and an inferior 10 mm linear conjunctival laceration. Grade 1 relative afferent pupillary defect was noted with restricted extraocular motility. CT imaging revealed a foreign body in the inferior aspect of the right orbit. Under general anaesthesia, the patient underwent globe exploration via inferior conjunctival laceration, and the foreign body was removed, which turned out to be a swordfish bill. Postoperatively, the patient was managed with systemic antibiotics and steroids and showed an improvement concerning vision and ocular motility. This case report highlights the importance of timely imaging and surgical intervention to extract foreign bodies to impact the patient's visual prognosis.
一名20岁出头的年轻男子因钓鱼受伤后突然出现右眼疼痛性视力模糊和活动性出血前来就诊。检查发现右下睑有三角形裂伤，结膜下有一条10毫米的线性裂伤。发现有1级相对性传入瞳孔障碍，眼球运动受限。CT成像显示右眼眶下方有一个异物。在全身麻醉下，患者通过结膜下裂伤进行了眼球探查，取出了异物，结果是一根箭鱼喙。术后，患者接受了全身抗生素和类固醇治疗，视力和眼球运动有所改善。本病例报告强调了及时进行影像学检查和手术干预以取出异物对患者视觉预后的重要性。
