{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:40:24Z","timestamp":1777581624817,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Ambispective interventional case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Modified technique of autologous TPG was used to seal corneal perforations measuring 3\u20135\u2005mm, 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The surgery was performed in 22 eyes. The mean age was 43.86\u2009\u00b1\u200916.02 (26\u201366) years, with 14 males and eight females. The etiologies of corneal perforation included dry eye (n\u2009=\u200910), neurotrophic keratitis (n\u2009=\u20096), trauma (n\u2009=\u20092), chemical injury (n\u2009=\u20092) and exposure (n\u2009=\u20092). The mean size of the perforation with the thinned-out area was 4.3\u2005mm (range 3\u20135\u2005mm). The mean duration of epithelialization was 14.31\u2009\u00b1\u20092.63 days (7\u201321 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u20135\u2005mm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721221078682","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T10:24:52Z","timestamp":1646216692000},"page":"3372-3382","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Hitch suture assisted tuck in Tenon's Patch Graft for management of Corneal Perforations"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6795-0508","authenticated-orcid":false,"given":"Rahul Kumar","family":"Bafna","sequence":"first","affiliation":[{"name":"Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8017-0637","authenticated-orcid":false,"given":"Nidhi","family":"Kalra","sequence":"additional","affiliation":[{"name":"Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0172-4249","authenticated-orcid":false,"given":"Aishwarya","family":"Rathod","sequence":"additional","affiliation":[{"name":"Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New 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