{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:55Z","timestamp":1787775775076,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"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 outcome of tenonplasty in eyes with perilimbal ischemia in acute ocular surface burns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a single-center retrospective study that included all patients presenting between May 2012 and December 2022 with acute ocular surface burn (within 6 weeks from injury) with perilimbal scleral ischemia, without perforation or previous surgical intervention for the same. All these patients underwent single-stage tenonplasty with amniotic membrane transplantation and medical management. Successful outcome was defined as globe preservation at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-three eyes of 20 patients were included in our study. Out of these, alkali was the most common offending agent (10 eyes of 8 patients). The extent of scleral ischemia was &lt;90\u00b0 in seven eyes, 90\u00b0\u2013180\u00b0 in six eyes, and &gt;180\u00b0 in 10 eyes. The mean interval between the injury and tenonplasty was 16.5 days. Globe integrity in 20 of the 23 eyes was maintained 6 months post injury. Three eyes that developed hypotony at the end of 6 months had more than 180\u00b0 of perilimbal scleral ischemia at presentation. The extent of scleral ischemia correlated with the development of phthisis bulbi, but the values were not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.081).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Tenonplasty in the acute stage acts as a globe-salvaging procedure in acute chemical burns with perilimbal scleral ischemia. Extensive scleral ischemia in an acute chemical burn remains a poor prognostic factor for globe integrity in the long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_204_24","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T03:05:20Z","timestamp":1726023920000},"page":"582-585","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn"],"prefix":"10.4103","volume":"73","author":[{"given":"Nidhi","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Cornea, Dr. Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cornea, Dr. Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virender","family":"Sangwan","sequence":"additional","affiliation":[{"name":"Department of Cornea, Dr. Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umang","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Cornea, Dr. Shroff\u2019s Charity Eye Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.jtos.2021.02.006","article-title":"Epidemiology, economic and humanistic burdens of ocular surface chemical injury: A narrative review","volume":"20","author":"Ahmmed","year":"2021","journal-title":"Ocul 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chemical injuries","volume":"250","author":"Iyer","year":"2012","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1136\/bjo.85.11.1379","article-title":"A new classification of ocular surface burns","volume":"85","author":"Dua","year":"2001","journal-title":"Br J Ophthalmol"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/ICO.0000000000001807","article-title":"Scleral ischemia in acute ocular chemical injury: Long-term impact on rehabilitation with limbal stem cell therapy","volume":"38","author":"Gupta","year":"2019","journal-title":"Cornea"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1016\/j.burns.2019.11.007","article-title":"Ocular chemical burns in the workplace: Epidemiological characteristics","volume":"46","author":"Quesada","year":"2020","journal-title":"Burns"},{"key":"R9-20260422","first-page":"524","article-title":"2 years experiences with Tenon-plasty","volume":"89","author":"Reim","year":"1992","journal-title":"Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft"},{"key":"R10-20260422","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1093\/jbcr\/iraa016","article-title":"Tenonplasty combined with amniotic membrane transplantation for patients with severe ocular burns induced anterior segment necrosis","volume":"41","author":"Peng","year":"2020","journal-title":"J Burn Care Res"},{"key":"R11-20260422","doi-asserted-by":"crossref","first-page":"105","DOI":"10.3928\/1542-8877-19970201-04","article-title":"Tenonplasty: A new surgical approach for the treatment of severe eye burns","volume":"28","author":"Kuckelkorn","year":"1997","journal-title":"Ophthalmic Surg Lasers"},{"key":"R12-20260422","doi-asserted-by":"crossref","first-page":"3203","DOI":"10.4103\/ijo.IJO_3148_21","article-title":"The role of Tenonplasty in the management of limbal and scleral ischemia due to acute ocular chemical burns","volume":"70","author":"Sharma","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R13-20260422","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1097\/ICO.0000000000000576","article-title":"Tenonplasty combined with free oral buccal mucosa autografts for repair of sclerocorneal melt caused by chemical burns","volume":"34","author":"Wang","year":"2015","journal-title":"Cornea"},{"key":"R14-20260422","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/ICO.0b013e31815ba1ae","article-title":"Surgical approach for scleral ischemia and melt","volume":"27","author":"Casas","year":"2008","journal-title":"Cornea"}],"container-title":["Indian Journal of 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