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Our case describes an alternative use for a Hughes flap in providing tectonic support and helping to restore the integrity of the globe in a complex case where conventional methods of \u2018patching\u2019 had failed.<\/jats:p>","DOI":"10.1177\/11206721211004401","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T02:09:52Z","timestamp":1616724592000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Tarsoconjunctival \u2018Hughes\u2019 flap for repair of globe perforation: A modified technique in the management of severe scleral necrosis"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5024-2022","authenticated-orcid":false,"given":"Laura","family":"Hughes","sequence":"first","affiliation":[{"name":"Ophthalmology Specialist Registrar, Princess Alexandra Eye Pavilion, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ed","family":"Saxby","sequence":"additional","affiliation":[{"name":"Ophthalmology Specialist Registrar, Princess Alexandra Eye Pavilion, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Wright","sequence":"additional","affiliation":[{"name":"Ophthalmology &amp; Oculoplastic Consultant, Princess Alexandra Eye Pavilion, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(98)99040-6"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ico.0000248386.55014.51"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(85)33822-8"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2005.04.001"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00480-2"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/ojo.OJO_209_2016"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2017.4038"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702344"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.2013.772982"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200204000-00008"},{"issue":"13","key":"e_1_3_3_12_2","first-page":"359","article-title":"Surgical approach for scleral ischemia and melt","volume":"48","author":"Casas VE","year":"2007","unstructured":"Casas VE, Kheirkhah A, Blanco G, et al. Surgical approach for scleral ischemia and melt. 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