{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:05:35Z","timestamp":1789668335189,"version":"4.0.1"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"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":[[2024,12]]},"abstract":"<jats:p>Corneal perforations are potentially sight-threatening conditions if not promptly treated. Management depends on the size, location, cause, and severity of the perforation. Various methods, including tissue adhesives, amniotic membrane grafting (AMG), and keratoplasty, are available. However, the limited availability of donor tissue in emergencies poses a significant challenge. Recently, Tenon\u2019s patch grafting (TPG) has emerged as a promising treatment option due to its autologous nature, availability, and lack of immunogenicity. This review provides a comprehensive overview of various aspects of TPG, along with relevant images. A literature search using keywords such as \u201cTenon\u2019s patch graft,\u201d \u201cTenon\u2019s capsule,\u201d \u201ccorneal patch graft,\u201d \u201camniotic membrane,\u201d and \u201ccorneal perforations\u201d yielded 37 articles, included in this review. TPG is suitable for cases involving corneal tissue degradation leading to perforation, impending perforation, or descemetocele, with lesion sizes ranging from 2 to 6 mm. For larger perforations, the procedure may be modified by combining it with AMG or tissue adhesives. Postoperatively, the graft undergoes characteristic changes, including epithelialization and collagen deposition, resulting in the formation of a thick scar. Complications such as delayed epithelialization, wound leaks, and graft dehiscence can occur. High success rates have been reported, ranging from 74% to 87%. However, TPG may result in suboptimal visual outcomes, particularly when the graft is centrally located, necessitating future keratoplasty for visual rehabilitation. Overall, TPG is a safe and cost-effective technique for restoring structural integrity in corneal thinning disorders and perforations, especially in emergency settings when donor tissue is unavailable.<\/jats:p>","DOI":"10.4103\/ijo.ijo_783_24","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T10:28:12Z","timestamp":1724840892000},"page":"1714-1720","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Clinical application and outcome of Tenon\u2019s patch graft: A comprehensive review"],"prefix":"10.4103","volume":"72","author":[{"given":"Rakhi","family":"Kusumesh","sequence":"first","affiliation":[{"name":"Cornea Services, Regional Institute of Ophthalmology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Kishore","sequence":"additional","affiliation":[{"name":"Government Medical College and Hospital, Sector 32, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anitha","family":"Venugopal","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Services, Aravind Eye Hospital and Postgraduate Institute, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushmita G","family":"Shah","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Services, Eye Life, Khar West, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murugesan","family":"Vanathi","sequence":"additional","affiliation":[{"name":"Cornea, Ocular Surface, and Refractive Services, Dr. R. 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