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

doi:10.3341/jkos.2008.49.10.1706

Journal List > J Korean Ophthalmol Soc > v.49(10) > 1008119

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Hyun Bae, Kyoung Seong, Kyoung Kim, and Ho Nam: Use of Autologous Tenon’s Capsule Graft for Repair of Traumatic Scleral Perforation

Original Article

J Korean Ophthalmol Soc 2008;49(10):1706-1710.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.10.1706

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

Ji Hyun Bae, M.D, Hyun Kyoung Seong, M.D, Ha Kyoung Kim, M.D, Woo Ho Nam, M.D

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

Address reprint requests to Woo-Ho Nam, M.D. Department of Ophthalmology, Gangnam Sacred Hospital, College of Medicine, Hallym University #948-1 Daerim-dong, Youngdeungpo-gu, Seoul 150-950, Korea Tel: 82-2-829-5193, Fax: 82-2-848-4638, E-mail: eyedrnam@naver.com

Received 7 July 2008 Accepted 23 January 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

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Keywords: Autologous Tenon’, s capsule graft, Scleral perforation, Scleral defect

References

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Figure 1.

Preoperative anterior segment photograph of the right eye. It showed diffuse corneal edema and 5~6 mm full-thickness scleral laceration with protruded uveal tissue.

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Figure 2.

Postoperative anterior segment photograph. It showed autologous Tenon’s capsule patch graft (5×4 mm²), which was covered by a conjunctival flap at the superior limbal area.

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Figure 3.

(A) Three weeks postoperative picture. It showed ingrowth of fibrovascular patch over the Tenon’s capsule graft. (B) Six months postoperative picture. It showed successfully survived autologous Tenon’s capsule graft, which was completely covered by the fibrovascular patch.

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Figure 4.

(A) Anterior segment photograph after autograft of Tenon’s capsule. It showed mature cataract. (B) Anterior segment photograph 3 months after phacoemulsification and IOL implantation in the bag.

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