Fish hook injury to the eye: A unique presentation

Fish-hook injuries are relatively uncommon and frequently involve upper extremities. A wide spectrum of ocular and adnexal trauma can occur following fish hook injury. We report an unusual presentation of ocular adnexal injury in a 34-year-old male who presented with a fish hook embedded in the lower eyelid margin with an intact anterior and posterior lamella. The fish hook was retrieved successfully without traumatizing both the lamellae by adopting a “sutureless, gray line split technique.” This case is being reported for its distinctive presentation and to emphasize the need to respect tissue anatomy and minimize surgical trauma while attempting removal of such sharp objects in order to achieve optimal functional and aesthetic outcomes.