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  • Tenon’s patch graft for sterile perforation: follow-up with serial, high-resolution, anterior-segment, optical coherence tomography

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Ophthalmology
Tenon’s patch graft for sterile perforation: follow-up with serial, high-resolution, anterior-segment, optical coherence tomography
  1. Sushank Ashok Bhalerao1 and
  2. Amanjot Kaur2
  1. 1Shantilal Shanghvi Cornea Institute, LV Prasad Eye Institute Kode Venkatadri Chowdary Campus, Vijayawada, Andhra Pradesh, India
  2. 2Cornea and Anterior Segment, LV Prasad Eye Institute Bhubaneswar Campus, Bhubaneswar, India
  1. Correspondence to Dr Amanjot Kaur; dr.amansandhu{at}gmail.com

Abstract

Management of corneal perforation depends on the size, location and cause of the lesion. Smaller perforations can be managed with tissue adhesives (TAs), amniotic membrane transplantation or Tenon’s patch graft (TPG). Tenon’s capsule is an autologous transplant and, as such, does not require to be supplied by an eye bank support. A patient with sterile perforation after foreign body removal came to us. Since the application of TA was already unsuccessful, TPG was performed. The graft integrated well and healed with a vascularised scar. We report the integration of the TPG at the perforation site using high-resolution, anterior-segment, optical coherence tomography.

  • Ophthalmology
  • Anterior chamber
  • Iris

https://doi.org/10.1136/bcr-2023-259090

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: AK and SAB. The following authors gave final approval of the manuscript: AK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.