Fish-hook injuries: a risk for fishermen
© Inchingolo et al; licensee BioMed Central Ltd. 2010
Received: 19 June 2010
Accepted: 14 December 2010
Published: 14 December 2010
Fishing is one of the best known and practiced human activities. However, you should remember that, when casting the hook from the riverbank or grasping it to add bait, fishermen run a real risk of injury if the hook punctures the skin.
Briefly we describe a case where a young, 32-year-old fisherman who was reeling the hook back to shore when it hit him in the face and embedded itself in his upper eyelid. Upon examination, the eye was found to be unharmed and the hook was removed through a small incision and the aid of a local anesthetic.
In the light of this case report, we think it a good idea to advise our friends and patients who we know to be fishermen to wear some form of eye protection as a precaution.
Fishing is one of the best known and practiced human activities. Fishing with a rod and hook is probably the most common and popular form, partly because you can fish from the riverbank or seashore, using your own skill to achieve excellent results. Even though there are no particular precautions or warnings for amateur fishermen, it is important to keep in mind some possible complications related to the sport. In particular, you should remember that, when casting the hook from the riverbank or grasping it to add bait, fishermen run a real risk of injury if the hook punctures the skin. The injury may be limited if there are no vital organs involved but can be extremely dangerous if it affects a delicate area, such as an eyelid or the eye itself.
Ocular fishhook injuries can cause severe ocular trauma[1–7]. Aiello et al. reported five cases of penetrating ocular fishhook injuries and showed that with appropriated surgical techniques excellent visual outcome can be achieved in these cases. Appropriate techniques have to be employed to remove the fishhook and avoid major damage to the eyelid anatomy . Penetrating eyelid injury, particularly from fishhooks, is common, with a range of removal techniques available such as retrograde, needle cover, advance and cut, string yank and vertical eyelid-splitting. Considering that medical literature contains many cases of eyelid and eye damage caused by fishing hooks [1–9], we think it a good idea to advise our friends and patients who we know to be fishermen to wear some form of eye protection as a precaution. Fly fishing hooks are very sharp and travel at surprisingly high speeds, for this reason we recommended that all fishermen wear protective eyeglasses similar to those that we use in the operating room to prevent contamination.
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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