{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:54Z","timestamp":1756339494666,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,26]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>A young man in his early 20s presented with complaints of a sudden onset of painful blurring of vision and active bleeding from his right eye following an injury while fishing. Examination revealed a triangular laceration in the right lower lid and an inferior 10\u2009mm linear conjunctival laceration. Grade 1 relative afferent pupillary defect was noted with restricted extraocular motility. CT imaging revealed a foreign body in the inferior aspect of the right orbit. Under general anaesthesia, the patient underwent globe exploration via inferior conjunctival laceration, and the foreign body was removed, which turned out to be a swordfish bill. Postoperatively, the patient was managed with systemic antibiotics and steroids and showed an improvement concerning vision and ocular motility. This case report highlights the importance of timely imaging and surgical intervention to extract foreign bodies to impact the patient\u2019s visual prognosis.<\/jats:p>","DOI":"10.1136\/bcr-2025-265734","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T23:50:16Z","timestamp":1746489016000},"page":"e265734","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Orbital trauma caused by a swordfish bill"],"prefix":"10.1136","volume":"18","author":[{"given":"Sunayana","family":"Bhat","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilon Denis","family":"Noronha","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyadarshini","family":"TA","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"2025082708263722000_18.5.e265734.1","doi-asserted-by":"crossref","first-page":"1018905","DOI":"10.3389\/fmed.2022.1018905","article-title":"Clinical analysis of 96 patients with intraorbital foreign bodies: A 10-year retrospective study","volume":"9","author":"You","year":"2022","journal-title":"Front Med"},{"key":"2025082708263722000_18.5.e265734.2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.18295\/2075-0528.2696","article-title":"Intraorbital foreign body: clinical presentation, radiological appearance and management","volume":"8","author":"Al-Mujaini","year":"2008","journal-title":"Sultan Qaboos Univ Med J"},{"key":"2025082708263722000_18.5.e265734.3","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.ajo.2004.10.011","article-title":"Fishing-related ocular trauma","volume":"139","author":"Alfaro","year":"2005","journal-title":"Am J Ophthalmol"},{"key":"2025082708263722000_18.5.e265734.4","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/S1015-9584(09)60153-6","article-title":"Swordfish attack--death by penetrating head injury","volume":"30","author":"Gooi","year":"2007","journal-title":"Asian J Surg"},{"key":"2025082708263722000_18.5.e265734.5","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2482-10-30","article-title":"Swordfish bill injury involving abdomen and vertebral column: case report and review","volume":"10","author":"Georgiadou","year":"2010","journal-title":"BMC Surg"},{"key":"2025082708263722000_18.5.e265734.6","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1016\/j.joms.2007.12.016","article-title":"Swordfish bill injury involving the pterygomaxillary fossae: surgical management and case report","volume":"66","author":"Mendon\u00e7a-Caridad","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082708263722000_18.5.e265734.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00067-2"},{"key":"2025082708263722000_18.5.e265734.8","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1580\/1080-6032-020.004.0344","article-title":"Attack upon a bather by a swordfish: a case report","volume":"20","author":"Haddad","year":"2009","journal-title":"Wilderness Environ Med"},{"key":"2025082708263722000_18.5.e265734.9","unstructured":"Kunimoto DY , Kanitkar KD , Makar MS . The wills eye manual: office and emergency room diagnosis and treatment of eye diseases. 4th edn. Philadelphia: Lippincott Williams & Wilkins, 2004:32\u20133."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265734","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:26:44Z","timestamp":1756308404000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265734"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5,5]]},"published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1136\/bcr-2025-265734"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265734","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,5]]}}}