Tenons Patch Graft in the Management of Large Corneal Perforations
| Autor: | Sanita Korah, Pushpa Jacob, Zia S. Pradhan, Thomas Kuriakose, Satheesh Solomon T Selvin |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Tissue and Organ Procurement Tenon Capsule medicine.medical_treatment Ophthalmologic Surgical Procedures law.invention 03 medical and health sciences 0302 clinical medicine Tenon's capsule law Cornea medicine Humans Evisceration (ophthalmology) Aged Retrospective Studies Wound Healing Corneal Perforation business.industry Corneal Transplant Enbucrilate Middle Aged Corneal perforation corneal ulcer medicine.disease Bandages eye diseases Surgery Ophthalmology surgical procedures operative medicine.anatomical_structure Cyanoacrylate 030221 ophthalmology & optometry Female Tissue Adhesives sense organs business 030217 neurology & neurosurgery Ophthalmologic Surgical Procedure Follow-Up Studies |
| Zdroj: | Cornea. 35:696-699 |
| ISSN: | 0277-3740 |
| DOI: | 10.1097/ico.0000000000000808 |
| Popis: | Purpose To describe a technique to manage corneal perforations between 3 and 6 mm in size using autologous Tenons tissue with cyanoacrylate glue and a bandage contact lens. Methods A thin layer of Tenons capsule harvested from the patient's own eye is used to seal the perforation and act as a scaffold. The Tenons patch graft is spread over the perforation and held in place by the application of cyanoacrylate glue. A bandage contact lens is then placed on the eye. Results A 6-year retrospective review of 28 patients who underwent this procedure was performed. One patient was lost to follow-up. Of the 27 patients who were followed up, 20 healed completely, with an adherent leucoma and preservation of the anterior chamber. The condition of one patient (with a perforated Pseudomonas corneal ulcer) progressively worsened despite maximum medical therapy and had to undergo evisceration. Conclusions This procedure makes use of easily available autologous Tenons tissue in patients with corneal perforations too large to be managed with cyanoacrylate glue alone, to preserve eyeball morphology. A corneal transplant can then be done when the cornea has healed. |
| Databáze: | OpenAIRE |
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