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Nonsurgical Management of Retained Needlefish Jaw

Kum, Clarissa, OD; Chang, Jessica, R., MD; Gruener, Anna, M., MBS MSc, FRCOphth; McCulley, Timothy, J., MD

Section Editor(s): McCulley, Timothy J. MD

Journal of Neuro-Ophthalmology: June 2018 - Volume 38 - Issue 2 - p 190–191
doi: 10.1097/WNO.0000000000000576
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Abstract: While scuba diving, the left medial canthus of a 53-year-old man was pierced by a needlefish. He immediately lost vision in his left eye. An orbital computed tomographic scan showed the needlefish jaw in the left optic canal. The left medial orbit was explored surgically but no foreign object was removed. One month later, MRI confirmed the presence of the retained needlefish jaw. A conservative approach was taken and the patient remained stable over 3 months of follow-up.

The Johns Hopkins Hospital, Wilmer Eye Institute, Baltimore, Maryland.

Address correspondence to Clarissa Kum, OD, The Johns Hopkins Hospital, Wilmer Eye Institute, 600 N Wolfe Street, Woods 457A, Baltimore, MD 21287; E-mail:

The authors report no conflicts of interest.

© 2018 by North American Neuro-Ophthalmology Society