![]() ![]() On first postoperative day, the best-corrected visual acuity (BCVA) of perception of light and projection of rays in all four quadrants in right eye. Bandage contact lens (BCL) was placed at the end as there was epithelial damage during removal of fish hook. After filling anterior chamber with viscoelastic material, fish hook was removed from same wound by oblique movement (cut-it out technique) without damaging adjacent structures, the wound sutured with six interrupted10-0 nylon sutures and side port hydrated. The configuration of the wound after enlarging it with the blade was curvilinear. The entry wound was extended with help of 15 number blade to facilitate smooth removal of tip of barbed fish hook. The iris tissue plugged in the tip was separated with the help of iris repositor. ![]() ![]() Then we made side port incision at 2 O clock at limbus and anterior chamber tap was taken, then anterior chamber was washed with help of saline and viscoelastic injected. Under GA, first we tried to remove barbed fish hook with help of forceps through same entry wound but the attempt was failed because of lack of visibility of tip due to exudates filled in irregular anterior chamber and incarceration of iris tissue in the tip. A written consent was obtained from the parents for removal of the fish-hook under general anaesthesia (GA). The patient was given inj.Tetanus Toxoid 0.5 cc intramuscular Surgical Technique and started on oral antibiotics and advised for corneal FB removal and corneal tear repair under general anaesthesia. A: The fish hook had penetrated the cornea obliquely, 3 mm away from limbus at 9'0 clock. ![]()
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