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  Vol. 124 No. 2, February 2006 TABLE OF CONTENTS
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Orbital Foreign Body and Ruptured Globe From Needlefish Impalement

Manoj M. Thakker, MD; Kim R. Usha, MD

Arch Ophthalmol. 2006;124:284.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 31-year-old fisherman was brought to Aravind Eye Hospital, Madurai, India, after a needlefish jumped out of the water, striking the patient above the left eye with its jaw (Figure 1A). The needlefish jaw was cut at the entry site, leaving an embedded portion lodged within the orbit.


 
Figure appears in full text version.
Figure 1. An example of a needlefish, with this specimen measuring approximately 1.5 m in length (A), and the patient at the initial visit (B). Arrow indicates the entry site of the needlefish jaw.


Examination of the left eye revealed bare light perception, a fixed and dilated pupil, afferent pupillary defect, absent motility, lid edema, proptosis, and vitreous hemorrhage (Figure 1B).

Orbital imaging shows the location of the needlefish jaw (Figure 2). Examination under anesthesia also revealed an inoperable posterior scleral laceration. The 7.0 x 1.5-cm jaw was . . . [Full Text of this Article]

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