Hitch suture assisted tuck in Tenon's Patch Graft for management of Corneal Perforations
PURPOSE: To describe a novel modification of tuck-in Tenon's patch graft (TPG) using temporary horizontal mattress sutures and fibrin glue to hitch the graft in the management of corneal perforations.
DESIGN: Ambispective interventional case series.
METHODS: Modified technique of autologous TPG was used to seal corneal perforations measuring 3-5 mm, using horizontal mattress sutures to hitch the graft in a lamellar pocket, followed by application of fibrin glue. The horizontal mattress sutures were removed after the reformation of the anterior chamber. The primary outcome measure was a well formed anterior chamber in the post-operative period and the secondary outcome was epithelization time.
RESULTS: The surgery was performed in 22 eyes. The mean age was 43.86 ± 16.02 (26-66) years, with 14 males and eight females. The etiologies of corneal perforation included dry eye (n = 10), neurotrophic keratitis (n = 6), trauma (n = 2), chemical injury (n = 2) and exposure (n = 2). The mean size of the perforation with the thinned-out area was 4.3 mm (range 3-5 mm). The mean duration of epithelialization was 14.31 ± 2.63 days (7-21 days). No intraoperative complications were observed. All eyes had a well-formed anterior chamber in the immediate postoperative period. Postoperatively, two eyes had graft pseudoectasia due to a thick graft and supra tenon haemorrhage each; one eye each had graft thinning with the formation of pseudopterygium and graft melting.
CONCLUSION: Tenon's patch graft, along with the use of temporary horizontal mattress sutures and fibrin glue, is an effective modification of the technique for managing corneal perforations measuring 3-5 mm.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
European journal of ophthalmology - 32(2022), 6 vom: 27. Nov., Seite 3372-3382 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bafna, Rahul Kumar [VerfasserIn] |
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| Links: |
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| Themen: |
Corneal perforation |
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| Anmerkungen: |
Date Completed 03.10.2022 Date Revised 03.10.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/11206721221078682 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM33765798X |
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| 100 | 1 | |a Bafna, Rahul Kumar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Hitch suture assisted tuck in Tenon's Patch Graft for management of Corneal Perforations |
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| 500 | |a Date Revised 03.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: To describe a novel modification of tuck-in Tenon's patch graft (TPG) using temporary horizontal mattress sutures and fibrin glue to hitch the graft in the management of corneal perforations | ||
| 520 | |a DESIGN: Ambispective interventional case series | ||
| 520 | |a METHODS: Modified technique of autologous TPG was used to seal corneal perforations measuring 3-5 mm, using horizontal mattress sutures to hitch the graft in a lamellar pocket, followed by application of fibrin glue. The horizontal mattress sutures were removed after the reformation of the anterior chamber. The primary outcome measure was a well formed anterior chamber in the post-operative period and the secondary outcome was epithelization time | ||
| 520 | |a RESULTS: The surgery was performed in 22 eyes. The mean age was 43.86 ± 16.02 (26-66) years, with 14 males and eight females. The etiologies of corneal perforation included dry eye (n = 10), neurotrophic keratitis (n = 6), trauma (n = 2), chemical injury (n = 2) and exposure (n = 2). The mean size of the perforation with the thinned-out area was 4.3 mm (range 3-5 mm). The mean duration of epithelialization was 14.31 ± 2.63 days (7-21 days). No intraoperative complications were observed. All eyes had a well-formed anterior chamber in the immediate postoperative period. Postoperatively, two eyes had graft pseudoectasia due to a thick graft and supra tenon haemorrhage each; one eye each had graft thinning with the formation of pseudopterygium and graft melting | ||
| 520 | |a CONCLUSION: Tenon's patch graft, along with the use of temporary horizontal mattress sutures and fibrin glue, is an effective modification of the technique for managing corneal perforations measuring 3-5 mm | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Corneal perforation | |
| 650 | 4 | |a Tenon patch graft | |
| 650 | 4 | |a glue | |
| 650 | 4 | |a hitch suture | |
| 650 | 7 | |a Fibrin Tissue Adhesive |2 NLM | |
| 700 | 1 | |a Kalra, Nidhi |e verfasserin |4 aut | |
| 700 | 1 | |a Rathod, Aishwarya |e verfasserin |4 aut | |
| 700 | 1 | |a Asif, Mohamed Ibrahime |e verfasserin |4 aut | |
| 700 | 1 | |a Lata, Suman |e verfasserin |4 aut | |
| 700 | 1 | |a Parmanand, Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Kaur, Navpreet |e verfasserin |4 aut | |
| 700 | 1 | |a Kittur, Amogh Shreekant |e verfasserin |4 aut | |
| 700 | 1 | |a Shakkarwal, Chetan |e verfasserin |4 aut | |
| 700 | 1 | |a Roop, Prakhyat |e verfasserin |4 aut | |
| 700 | 1 | |a Agarwal, Rinky |e verfasserin |4 aut | |
| 700 | 1 | |a Agarwal, Tushar |e verfasserin |4 aut | |
| 700 | 1 | |a Sharma, Namrata |e verfasserin |4 aut | |
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