Use of Autologous Tenon's Capsule Graft for Repair of Traumatic Scleral Perforation.

Bae, Ji Hyun; Seong, Hyun Kyoung; Kim, Ha Kyoung; Nam, Woo Ho

doi:2008.49.10.1706

J Korean Ophthalmol Soc > Volume 49(10); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(10):1706-1710.
DOI: https://doi.org/10.3341/jkos.2008.49.10.1706 Published online October 15, 2008.

Use of Autologous Tenon's Capsule Graft for Repair of Traumatic Scleral Perforation.

Ji Hyun Bae, Hyun Kyoung Seong, Ha Kyoung Kim, Woo Ho Nam

Department of Ophthalmology, Gangnam Sacred Hospital, College of Medicine, Hallym University, Seoul, Korea. eyedrnam@naver.com

외상성 공막 천공 환자에서 시행한 자가테논낭이식 1예

배지현ㆍ성현경ㆍ김하경ㆍ남우호

Department of Ophthalmology, Gangnam Sacred Hospital, College of Medicine, Hallym University, Seoul, Korea

Abstract

PURPOSE
To report the use of autologous Tenon's capsule graft for repair of scleral defects caused by traumatic scleral perforation. CASE SUMMARY: An 81-year-old man presented with loss of vision in his right eye after a perforating injury caused by a cow horn. Examination showed a laceration of the sclera at 12 o'clock approximately 5~6 mm in length, and a uveal tissue was prolapsed into the wound. The best corrected visual acuity was 0.1. Primary repair of the eye was insufficient because of tissue loss. The inferonasal Tenon's capsule graft was carefully dissected from the sclera and tailored to fit the defect. The graft was covered with a conjunctival flap. The scleral defect was successfully closed with the autologous Tenon's capsule graft. Three months after grafting, phacoemulsification with intraocular lens implantation was performed. CONCLUSIONS: Autologous Tenon's capsule graft is an effective measure to repair traumatic scleral defects and is useful when patch grafts are unexpectedly needed.

Key Words: Autologous Tenon's capsule graft;Scleral perforation;Scleral defect