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Updated: Jan 10, 2026
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Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
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Clinical Features and Outcomes of Fishing-Related Ocular Injuries.
Landon J Rohowetz1, Matthew J McSoley1, Humberto Salazar1
1Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL, USA.
Journal of Vitreoretinal Diseases
|November 27, 2025
Summary
Fishing injuries, especially from fishhooks, often cause severe open-globe eye injuries with poor visual outcomes. Prompt antibiotic treatment and outpatient repair appear effective in preventing post-operative endophthalmitis.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Public Health
Background:
- Fishing-related ocular injuries represent a significant cause of visual impairment.
- Understanding the specific mechanisms and outcomes is crucial for prevention and treatment.
Purpose of the Study:
- To analyze the clinical characteristics and visual outcomes of fishing-related eye injuries.
- To identify risk factors associated with severe injury and complications.
Main Methods:
- Retrospective case series of 75 eyes with fishing-related ocular trauma.
- Data collected on injury cause, type (open-globe vs. closed-globe), and visual acuity.
- Analysis of treatment protocols, including antibiotic use and surgical management.
Main Results:
- Fishhook injuries were most frequent (37%) and strongly associated with open-globe injuries (54%).
- Open-globe injuries resulted in significantly worse visual acuity (1.4 logMAR) compared to closed-globe injuries (0.46 logMAR).
- Intraoperative antibiotics (intravitreal/intracameral) were administered in most open-globe cases, with no postoperative endophthalmitis observed.
Conclusions:
- Fishhook-related open-globe injuries are linked to poor visual prognosis.
- Aggressive surgical management with perioperative antibiotics is effective in preventing endophthalmitis.
- Outpatient management of open-globe injuries is feasible and safe in selected cases.
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