{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:29:09Z","timestamp":1786728549575,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>\n                    We describe the hybrid technique of tuck-in Tenon\u2019s patch graft (TPG) and tissue adhesive bandaged contact lens (TABCL) for large corneal perforations (&gt;5 mm) with intact surrounding stroma. Management of large corneal perforation is often challenging, and urgent availability of donor cornea might be difficult; Tenon patch alone does not provide tectonic support; hence, this hybrid technique can be used safely in large perforations. This involves freshening the perforation edges, creating a 360\n                    <jats:sup>0<\/jats:sup>\n                    stromal pocket, harvesting a Tenon\u2019s graft 1 mm oversized, tucking into the pocket, and suturing. Then areas of leakage were noted, and only those areas were supplemented with minimal cyanoacrylate glue (CG) at the graft edges. This technique was used in two eyes, one with a large corneal perforation and intact surrounding stroma and the other with 4 mm corneal fistula post healed keratitis with a failed primary TPG alone, and led to epithelialization and a smooth corneal surface at 6 weeks. The advantages include autologous tissue, cost-effective, easily available, minimal post-operative inflammation, vascularization, and surface irregularity.\n                  <\/jats:p>","DOI":"10.4103\/ijo.ijo_3278_23","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T11:02:24Z","timestamp":1716202944000},"page":"1663-1665","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Hybrid technique of tuck-in Tenon\u2019s patch graft and tissue adhesives and bandage contact lens (TABCL) for large corneal perforation in microbial keratitis"],"prefix":"10.4103","volume":"72","author":[{"given":"Deepali","family":"Singhal","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Anil Eye Hospital, Thane, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prafulla K","family":"Maharana","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"R1-20260425","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.survophthal.2020.08.004","article-title":"Surgical alternatives to keratoplasty in microbial keratitis","volume":"66","author":"Singhal","year":"2021","journal-title":"Surv Ophthalmol"},{"key":"R2-20260425","first-page":"bcr-2017","article-title":"Tenon patch graft for corneal fistula: A rare entity treated by a simple technique","volume":"2017","author":"Maharana","year":"2017","journal-title":"Case Rep"},{"key":"R3-20260425","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":"R4-20260425","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":"R5-20260425","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":"R6-20260425","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":"R7-20260425","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1111\/j.1442-9071.2011.02745.x","article-title":"Anatomy of tenons capsule","volume":"40","author":"Kakizaki","year":"2012","journal-title":"Clin Experiment Ophthalmol"},{"key":"R8-20260425","article-title":"Tenon Patch Graft for Corneal Perforation","year":"2012","journal-title":"Am Acad Ophthalmol"},{"key":"R9-20260425","doi-asserted-by":"crossref","first-page":"101322","DOI":"10.1016\/j.ajoc.2022.101322","article-title":"Gore-Tex- as an adjuvant to Tenon\u2019s patch graft for large perforated corneal ulcers during Covid times","volume":"25","author":"Anitha","year":"2022","journal-title":"Am J Ophthalmol Case Rep"},{"key":"R10-20260425","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"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3278_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:28:32Z","timestamp":1786724912000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3278_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":10,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3278_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,20]]},"assertion":[{"value":"2023-12-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}