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Fascicular corneal vascularisation responds rapidly to removal of retained corneal foreign body

Corneal neovascularisation is classified clinically as superficial (predominantly subepithelial), interstitial (stromal) or deep (between the stroma and Desçemet’s membrane). Superficial corneal vascularisation can manifest as a diffuse peripheral pannus or as a localised fascicle directed toward a specific corneal lesion. A fascicular keratitis involves a sheath of predominantly subepithelial corneal vessels with possible interstitial involvement and is associated with herpetic, phylectenular or severe bacterial keratitis. This report involves an unusual clinical presentation of fascicular keratitis associated with the protracted retention of an embedded anterior stromal, non-metallic corneal foreign body.