Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn

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dc.contributor.authorGupta, Nidhien_US
dc.contributor.authorSingh, Shwetaen_US
dc.contributor.authorSangwan, Virenderen_US
dc.contributor.authorMathur, Umangen_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 outcome of tenonplasty in eyes with perilimbal ischemia in acute ocular surface burns. Methods: This was a single?center retrospective study that included all patients presenting between May 2012 and December 2022 with acute ocular surface burn (within 6 weeks from injury) with perilimbal scleral ischemia, without perforation or previous surgical intervention for the same. All these patients underwent single?stage tenonplasty with amniotic membrane transplantation and medical management. Successful outcome was defined as globe preservation at 6 months. Results: Twenty?three eyes of 20 patients were included in our study. Out of these, alkali was the most common offending agent (10 eyes of 8 patients). The extent of scleral ischemia was <90° in seven eyes, 90°–180° in six eyes, and >180° in 10 eyes. The mean interval between the injury and tenonplasty was 16.5 days. Globe integrity in 20 of the 23 eyes was maintained 6 months post injury. Three eyes that developed hypotony at the end of 6 months had more than 180° of perilimbal scleral ischemia at presentation. The extent of scleral ischemia correlated with the development of phthisis bulbi, but the values were not statistically significant (P = 0.081). Conclusion: Tenonplasty in the acute stage acts as a globe?salvaging procedure in acute chemical burns with perilimbal scleral ischemia. Extensive scleral ischemia in an acute chemical burn remains a poor prognostic factor for globe integrity in the long term.en_US
dc.identifier.affiliationsDepartment of Cornea, Dr. Shroff’s Charity Eye Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Cornea, Dr. Shroff’s Charity Eye Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Cornea, Dr. Shroff’s Charity Eye Hospital, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Cornea, Dr. Shroff’s Charity Eye Hospital, New Delhi, Indiaen_US
dc.identifier.citationGupta Nidhi, Singh Shweta, Sangwan Virender, Mathur Umang. Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn. Indian Journal of Ophthalmology. 2025 Apr; 73(4): 582-585en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/249879
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_204_24en_US
dc.subjectChemical injuryen_US
dc.subjectlimbal stem cell deficiencyen_US
dc.subjectscleral ischemiaen_US
dc.subjecttenonplastyen_US
dc.titleOutcome of tenonplasty in scleral ischemia secondary to acute ocular surface burnen_US
dc.typeJournal Articleen_US
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