{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:38Z","timestamp":1787758298485,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Of the various manifestations of ocular chemical burns (OCBs), ischemia of the limbus and the peri-limbal sclera indicates poor prognosis and in severe cases threaten the integrity of the globe. Tenonplasty is a surgical procedure which involves advancing the Tenon\u2019s capsule over the ischemic areas to provide a vascular supply and to enable migration of the conjunctival epithelium. This review aims to provide an overview of the diagnosis of limbal ischemia and its management with Tenonplasty. A literature review was conducted using the keywords \u201cTenonplasty,\u201d \u201cTenon\u2019s capsule,\u201d \u201cocular chemical injury,\u201d \u201cocular thermal injury,\u201d \u201cTenon advancement,\u201d \u201cscleral ischemia,\u201d and \u201climbal ischemia,\u201d and outcomes were studied from seven selected articles. In addition to clinical evaluation, in vivo imaging techniques such as anterior segment optical coherence tomography angiography can provide an objective method of measuring and monitoring the ischemia and re-perfusion of the peri-limbal vasculature. Tenonplasty can be performed in eyes with acute OCBs with scleral or limbal ischemia by dissecting the Tenon\u2019s layer from the orbit and securing it to the limbus. The indications, mechanism of action, peri-operative considerations, surgical technique, and post-operative care of Tenonplasty are discussed in detail. The average time for post-operative re-epithelization ranges from 1 to 6 months with the formation of a symblepharon being the most common complication. In conclusion, Tenonplasty is a globe-salvaging procedure in cases with severe limbal and scleral ischemia because of OCBs and has good anatomical outcomes priming the globe for subsequent re-constructive and vision-restoring surgeries.<\/jats:p>","DOI":"10.4103\/ijo.ijo_3148_21","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T05:38:02Z","timestamp":1661751482000},"page":"3203-3212","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["The role of Tenonplasty in the management of limbal and scleral ischemia due to acute ocular chemical burns"],"prefix":"10.4103","volume":"70","author":[{"given":"Supriya","family":"Sharma","sequence":"first","affiliation":[{"name":"The Cornea Institute, KAR Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahita","family":"Kate","sequence":"additional","affiliation":[{"name":"The Cornea Institute, KVC Campus, LV Prasad Eye Institute, Vijayawada, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pragnya Rao","family":"Donthineni","sequence":"additional","affiliation":[{"name":"The Cornea Institute, KAR Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayan","family":"Basu","sequence":"additional","affiliation":[{"name":"The Cornea Institute, KAR Campus, Hyderabad, Telangana, India"},{"name":"Center for Ocular Regeneration (CORE), Hyderabad, Telangana, India"},{"name":"Brien Holden Eye Research Centre, LV Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swapna S","family":"Shanbhag","sequence":"additional","affiliation":[{"name":"The Cornea Institute, KAR Campus, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"B1-20240828","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 Surf"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00055735-199410000-00014","article-title":"Burns of the ocular adnexa","volume":"5","author":"White","year":"1994","journal-title":"Curr Opin Ophthalmol"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0140-6736(95)90564-2","article-title":"Treatment of severe eye burns by tenonplasty","volume":"345","author":"Kuckelkorn","year":"1995","journal-title":"Lancet"},{"key":"B5-20240828","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":"B6-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1055\/s-2008-1046325","article-title":"[Tenonplasty as a new surgical principle in the early treatment of the most severe chemical eye burns","volume":"194","author":"Teping","year":"1989","journal-title":"Klin Monbl Augenheilkd"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/S0014-4835(03)00212-4","article-title":"Scleral structure, organisation and disease. 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