VT328 : Fishing out the hook: A modified approach

Dr.PRITAM MADHUKAR BAWANKAR, Dr.Manabjyoti Barman, Dr.DIVA KANT MISRA

A fifty nine year old male presented with a fish hook embedded in his left cornea. The string from fish hook was cut off and no attempt of rotating or removing the hook was made by the patient. Visual acuity was hand movement close to face and corneal edema around the hook. X-ray revealed the barbed end impaled at the inferior orbital rim. B-scan USG localized the exit point at the pars plana region inferiorly. Surgery was performed under general anesthesia and a transconjunctival approach was planned to clear the hook from the inferior orbital rim, following a lateral canthotomy. A modified approach was thus adopted instead of the conventional cut-advance method because of the large eyelet and thick metal. Postoperatively at the end of 4 weeks, Vision was maintained at hand movement. The above technique could be used as a novel and modified technique of salvaging the globe in difficult situations of fish hook injuries having extensive oculo-orbital involvement.