{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:13Z","timestamp":1786649773551,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To study the techniques, clinical outcomes, and complications of autologous Tenon\u2019s patch grafting in patients with non-infectious corneal melt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective analysis included 15 eyes from 15 patients with non-infective corneal melt who underwent autologous Tenon\u2019s patch grafting between January 2021 and December 2023 at our tertiary care institute. The age of the patients ranged from 16 to 79 years (mean: 46.64 \u00b1 17.20 years), and there were eight males and seven females. Tenon\u2019s tissue was harvested from the same eye in all patients, placed on the perforation site, and tucked in and secured with 10-0 nylon sutures in 14 eyes and with additional cyanoacrylate glue in one eye. The follow-ups ranged from 1 month to 2 years (mean: 9.17 \u00b1 6.83 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The graft healed with scarring and vascularization in 10 eyes (66.67%), and loss of Tenon\u2019s patch graft was seen in two eyes (13%). Three (20%) patients were lost to follow-up, and five (33%) achieved a vision of &gt;20\/200.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In active immune corneal melt, Tenon\u2019s patch graft restores cornea and globe integrity, delaying the need for keratoplasty in an inflammatory condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1890_24","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T08:55:58Z","timestamp":1743324958000},"page":"563-566","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Autologous Tenon\u2019s patch graft: Techniques, clinical outcome, and complications in cases of immune corneal melt"],"prefix":"10.4103","volume":"73","author":[{"given":"Nisha","family":"Rani","sequence":"first","affiliation":[{"name":"Cornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikant K","family":"Sahu","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Sahoo","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1136\/bjophthalmol-2018-312375","article-title":"Clinical presentation and management of corneal fistula","volume":"103","author":"Singhal","year":"2019","journal-title":"Br J Ophthalmol"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"97.","DOI":"10.1186\/1471-2415-14-97","article-title":"Modified tectonic keratoplasty with minimal corneal graft for corneal perforation in severe Stevens--Johnson syndrome: A case series study","volume":"14","author":"Wang","year":"2014","journal-title":"BMC Ophthalmol"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1097\/ICO.0000000000001955","article-title":"Tuck-in tenon patch graft in corneal perforation","volume":"38","author":"Sharma","year":"2019","journal-title":"Cornea"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"bcr2017222790","DOI":"10.1136\/bcr-2017-222790","article-title":"Tenon patch graft for corneal fistula: A rare entity treated by a simple technique","volume":"2017","author":"Maharana","year":"2017","journal-title":"BMJ Case Rep"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1097\/ICO.0000000000000808","article-title":"Tenons patch graft in the management of large corneal perforations","volume":"35","author":"Korah","year":"2016","journal-title":"Cornea"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1080\/08820538.2021.2017470","article-title":"Tenon\u2019s patch graft: A review of indications, surgical technique, outcomes and complications","volume":"37","author":"Kate","year":"2022","journal-title":"Semin Ophthalmol"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/tjosr.tjosr_139_20","article-title":"Tuckin Tenon\u2019s patch graft for corneal perforation","volume":"59","author":"Vadivelu","year":"2021","journal-title":"TNOA J Ophthalmic Sci Res"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"3372","DOI":"10.1177\/11206721221078682","article-title":"Hitch suture assisted tuck in Tenon\u2019s patch graft for management of corneal perforations","volume":"32","author":"Bafna","year":"2022","journal-title":"Eur J Ophthalmol"},{"key":"R9-20260422","doi-asserted-by":"crossref","first-page":"4257","DOI":"10.4103\/ijo.IJO_1279_22","article-title":"Clinical outcome and course of Tenon\u2019s patch graft in corneal perforation and descemetocele","volume":"70","author":"Kusumesh","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R10-20260422","doi-asserted-by":"crossref","first-page":"106046.","DOI":"10.1016\/j.ijscr.2021.106046","article-title":"Long term outcome of Tenon\u2019s patch graft in corneal perforation secondary to neurotrophic keratitis: A case report on a 4-year anatomical functional outcome","volume":"83","author":"Chaudhary","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"R11-20260422","first-page":"84","article-title":"Spontaneous bilateral corneal perforation in Stevens- Johnsons syndrome-A challenge in management","volume":"20","author":"Md Noh","year":"2013","journal-title":"Malays J Med Sci"}],"container-title":["Indian Journal of 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