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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 225-226

Severe effects of accidental orbital trauma by a less venomous fish Siganus rivulatus

1 Akdeniz University, Faculty of Medicine, Department of Ophthalmology, Antalya, Turkey
2 Akdeniz University, Faculty of Fisheries, Antalya, Turkey

Correspondence Address:
Dr. Yusuf Ayaz
Akdeniz University Hospital, Department of Ophthalmology, G Bl, Konyaalti, Antalya
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_3372_20

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A 51-year-old male was injured by the fish, Siganus rivulatus, while swimming in the Mediterranean waters of Antalya, Turkey. The injury was caused when a spine of the fish's dorsal fin penetrated in the left lower eyelid superior to the inferior orbital rim, causing his left eye to experience sudden vision loss, total medial gaze restriction, and pupil dilation. A foreign body detected on orbital computed tomography was extracted with orbitotomy. The patient received methylprednisolone and antibiotic for 7 days, then medication was tapered. Final visual acuity reached 20/32 in the left eye, but pupil dilation did not improve. To the best of our knowledge, this is the first reported case of orbital trauma secondary to a Siganus rivulatus strike. In this report, we describe the treatment that the patient underwent for this injury and his subsequent recovery.

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