目标:钓鱼是一种广泛享受的休闲追求。虽然眼部钓鱼受伤很少见,它们有可能导致严重的眼外伤,鱼钩的安全提取可能会带来挑战。我们在这里报告了21例鱼钩对角膜的穿透性损伤,详细说明成功的手术干预措施用于他们的管理。该报告不仅概述了去除鱼钩的不同技术,而且还澄清了与鱼钩各种组件相关的术语。
方法:这是一项在印度南部三级眼科护理中心进行的回顾性研究。我们的医院迎合泰兰加纳州,安得拉邦,还有奥里萨邦.评估了2003年至2023年期间在急诊科就诊的患者的所有医疗记录,并将所有鱼钩损伤患者纳入研究。这是印度最长,最大的研究。
结果:在2003年至2023年之间,有21例眼鱼钩伤被送到急诊室。患者年龄在9至59岁之间(平均值,29.4年),90.4%(21人中有19人)为男性。患者人口统计学,损伤特征,手术干预,和视觉结果被精心记录。在21个案例中,3例(14.3%)有钝性外伤,穿透性损伤17例(80.9%),眼睑裂伤1例。第二次手术后患者的视力结果更好。在21个案例中,7(33.3%)的术后视力(VA)在20/20和20/40之间。三个(14.3%)的术后VA在20/60和20/125之间。五个(23.8%)的术后VA在20/200和20/600之间。6例(28.6%)视力不良,其中2例没有光感(NPL),两个有手部运动,另外两个有对光的感知和射线的投射不准确结论:这个广泛的病例系列强调了鱼钩引起的眼部损伤的复杂性,并强调了定制手术方法对最佳视觉结果的重要性。通过了解鱼钩的结构并采用适当的提取方法,可以在对眼部结构造成最小创伤的情况下成功去除钩。
OBJECTIVE: Fishing stands out as a widely enjoyed leisure pursuit. While ocular fishing injuries are infrequent, they carry the potential for severe ocular trauma, and safe extraction of a fish hook can pose challenges. We here in report a series of 21 cases of penetrating injury to the cornea by fish hook, detailing successful surgical interventions employed for their management. The report not only outlines different techniques for the removal of fish hooks but also provides clarification on terminologies associated with various components of a fish hook.
METHODS: This was a retrospective study conducted at tertiary eye care centers in South India. Our hospitals cater to the states of Telangana, Andhra Pradesh, and Odisha. All medical records of patients who attended the emergency department from the period of 2003 to 2023 were evaluated and all patients with fish hook injury were included in the study. This is the longest and largest study in India.
RESULTS: Twenty-one cases of ocular fish-hook injuries were presented to the emergency room between 2003 and 2023. Patients were between the ages of 9 and 59 years (mean, 29.4 years), and 90.4 % (19 out of 21) were males. Patient demographics, injury characteristics, surgical interventions, and visual outcomes were meticulously documented. Out of 21 cases, three cases (14.3 %) had blunt trauma, 17 cases (80.9 %) had penetrating injury and one case had lid laceration. Patients had better visual outcomes after the second surgery. Out of 21 cases, 7 (33.3 %) had post-operative visual acuity (VA) between 20/20 and 20/40. Three (14.3 %) had post-operative VA between 20/60 and 20/125. Five (23.8 %) had post-operative VA between 20/200 and 20/600. Six cases (28.6 %) had poor visual outcomes of which two had no perception of light (NPL), two had Hand movements and the other two had the perception of light present and projection of rays inaccurate CONCLUSION: This extensive case series underscores the complexity of ocular injuries caused by fish hooks and emphasizes significance of tailored surgical approaches for optimal visual outcomes. The hook can be successfully removed with minimal trauma to ocular structures by understanding structure of fish hook and by employing appropriate method of extraction.