Autologous Tenon’s patch graft: Techniques, clinical outcome, and complications in cases of immune corneal melt

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dc.contributor.authorRani, Nishaen_US
dc.contributor.authorSahu, Srikant Ken_US
dc.contributor.authorSahoo, Sonalien_US
dc.date.accessioned2025-06-19T05:52:06Z
dc.date.available2025-06-19T05:52:06Z
dc.date.issued2025-04
dc.description.abstractPurpose: To study the techniques, clinical outcomes, and complications of autologous Tenon’s patch grafting in patients with non?infectious corneal melt. Methods: This retrospective analysis included 15 eyes from 15 patients with non?infective corneal melt who underwent autologous Tenon’s patch grafting between January 2021 and December 2023 at our tertiary care institute. The age of the patients ranged from 16 to 79 years (mean: 46.64 ± 17.20 years), and there were eight males and seven females. Tenon’s tissue was harvested from the same eye in all patients, placed on the perforation site, and tucked in and secured with 10?0 nylon sutures in 14 eyes and with additional cyanoacrylate glue in one eye. The follow?ups ranged from 1 month to 2 years (mean: 9.17 ± 6.83 months). Results: The graft healed with scarring and vascularization in 10 eyes (66.67%), and loss of Tenon’s patch graft was seen in two eyes (13%). Three (20%) patients were lost to follow?up, and five (33%) achieved a vision of >20/200. Conclusion: In active immune corneal melt, Tenon’s patch graft restores cornea and globe integrity, delaying the need for keratoplasty in an inflammatory condition.en_US
dc.identifier.affiliationsCornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsCornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsCornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.citationRani Nisha, Sahu Srikant K, Sahoo Sonali . Autologous Tenon’s patch graft: Techniques, clinical outcome, and complications in cases of immune corneal melt. Indian Journal of Ophthalmology. 2025 Apr; 73(4): 563-566en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/249876
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber4en_US
dc.relation.volume73en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_1890_24en_US
dc.subjectImmune corneal melten_US
dc.subjectStevens?Johnson syndromeen_US
dc.subjectTenon’s tissueen_US
dc.titleAutologous Tenon’s patch graft: Techniques, clinical outcome, and complications in cases of immune corneal melten_US
dc.typeJournal Articleen_US
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