Caso clinico di un corpo estraneo corneale con diagnosi e management conservativo a lungo termine

Purpose: To describe the diagnosis and management of one case of a patient with a welltolerated and long-standing retained intracorneal brick foreign body. Methods: Observational case report. Results: A 42-years old man was admitted to our clinic with an intracorneal brick foreign body well demarcated in the posterior stroma of the right eye (RE ) cornea in the correspondence of the inferior quadrant at 6.30 o’ clock. No signs of perforation were underlined at slit-lamp-examination (SLE ) and fundus biomicroscopy examination: the foreign body stopped at 98 μ distance from corneal endothelium, well tolerated and encapsulated, almost simulating a sort of breach like a corneal tunnel. Optical Coherence Tomography-Visante (Visante 1000, Carl Zeiss Meditec Inc, Dublin, CA , USA) examination of the anterior segment of the RE and color anterior segment photographs were carried out to compare foreign body position and corneal tissue reactions in the follow up visits” Conclusion: Treatment options and classic studies teach us that intracorneal foreign bodies must be removed especially to avoid the danger of the infections, but in some cases it is possible obtain to a conservative management because they can be well-tolerated by the eye without sympthoms and preserving outcomes in visualacuity.