Dr. RAKHI KUSUMESH

Dr. NILESH MOHAN, Mrs.Ankita Singh, DR DIVYA KUMARI

Abstract

Objective: To determine the efficacy of Tenon’s patch graft (TPG) for corneal perforation and descemetocele. Methods: 83 patients (85 eyes) who underwent TPG were reviewed. Grafts were secured with fibrin glue and overlay sutures. Clinical examination and AS-OCT were performed. Clinical success was considered as restoration of the structural integrity. Results: Mean size of the corneal lesions was 4.20 ± 1.01 mm. The common underlying etiologies were infectious keratitis in 48% and autoimmune disorders in 35% of cases. TPG successfully restored the globe integrity in 74 eyes. Graft failure occurred in 11 eyes. Median time to epithelialization and scar formation were 3 weeks and 15 weeks, respectively. Predictors of a successful outcome- descemetocele, non-infective etiology, viral keratitis in infective etiology, and paracentral lesions. Conclusion: TPG can be considered as an effective for restoring the structural integrity in the eyes with perforations and descemetoceles.

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