title: Tenons Patch Graft in the Management of Large Corneal Perforations.
abstract: OBJECTIVE
  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.
authors.affiliation: *Department of Ophthalmology, Christian Medical College and Hospital, Vellore, India; and†Narayana Nethralaya, Bangalore, India.
authors.forename: Sanita
authors.initials: S
authors.lastname: Korah
authors.forename: Satheesh S T
authors.initials: SS
authors.lastname: Selvin
authors.forename: Zia S
authors.initials: ZS
authors.lastname: Pradhan
authors.forename: Pushpa
authors.initials: P
authors.lastname: Jacob
authors.forename: Thomas
authors.initials: T
authors.lastname: Kuriakose
mesh_terms: D000328:Adult; D000368:Aged; D001458:Bandages; D057112:Corneal Perforation / Q000601:surgery*; D004659:Enbucrilate / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D058475:Tenon Capsule / Q000637:transplantation*; D014014:Tissue Adhesives / Q000627:therapeutic use; D009927:Tissue and Organ Procurement; D014945:Wound Healing
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate