title: Penetrating Ocular Trauma with Retained Intraocular Foreign Body: Management, Follow-up and Medico-legal Evaluation.
abstract: Ocular trauma is the leading cause of acquired monocular blindness, accounting for 1.97-6% of such cases. Particularly, penetrating ocular injuries are among the most common eye injuries with this kind of outcome. Early diagnosis and prompt management are crucial to avoid complications, and the especially dreaded enucleation. In this article, the authors describe the clinical management, and evaluate the visual and anatomical results obtained in a case of ocular injury with retained intraocular foreign body (IOFB) in a 20-year old female patient. The course of treatment involved a combination of penetrating keratoplasty with a temporary keratoprosthesis, phacoemulsification with intraocular lens implantation and pars plana vitrectomy. At three years from the initial injury, the patient was able to count fingers at 30 centimetres and anatomicalrestitutio ad integrumof the globe had been achieved.
authors.affiliation: Department of Ophthalmology, University of Rome "Campus Bio-Medico", Rome, Italy, E-mail: s.sorrentino@unicampus.it.
authors.forename: S
authors.initials: S
authors.lastname: Sorrentino
authors.affiliation: Legal Medicine and Social Security Services, Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
authors.forename: L T
authors.initials: LT
authors.lastname: Marsella
authors.affiliation: Department of Experimental Medicine, Second University of Naples, Naples, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Feola
authors.affiliation: Section of Legal Mediciine, University of Rome "Tor Vergata", Rome, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Marino
authors.affiliation: "GB Bietti" Foundation for Study and Research in Ophthalmology, Rome, Italy.|Department of Ophthalmology, University of Rome "Campus Bio-Medico", Rome, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Billi
keywords: Intraocular foreign body; keratoprosthesis; vitrectomy