PMC10073980_01
(A) Pre-operative picture of RE showing Mooren's ulcer with impending perforation; (B) post-operative day 1; (C) post-operative 1 month
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F1
In the right eye, there was peripheral corneal thinning involving 6 clock hours (12-6 o'clock) with limbal involvement without associated scleritis (Figure 1A (Fig. 1)). Multilayered AMG in the left eye was well-attached (Figure 1B (Fig. 1)). On one month follow-up, BCVA had improved to 6/18 in the right eye (Figure 1C (Fig. 1)) and 6/60 in the left eye (Figure 2D (Fig. 2)) with immature cataract in both the eyes.
(A) Preoperative picture of LE showing peripheral corneal perforation with iris prolapse; (B) Tenon's patch graft anchored to recipient bed with cross suture; (C) post-operative day 1; (D) post-operative 1 month
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F2
In the left eye, there was peripheral corneal perforation measuring 3 mm*2.5 mm with iris prolapse at 8-9 o'clock position (Figure 2A (Fig. 2)). The harvested Tenon's graft was ironed into a thin layer, placed over the perforation and anchored to the host bed by placing an overlay cross suture using 10-0 nylon (Figure 2B (Fig. 2)). The graft was covered by two layers of amniotic membrane similar to the right eye for the growth of healthy epithelium and integration of the Tenon's tissue with the surrounding healthy corneal stromal bed. On post-operative day 1, the Tenon's patch graft (TPG) in the left eye was well-attached and the anterior chamber was formed with no leak on Seidel test (Figure 2C (Fig. 2)). On one month follow-up, BCVA had improved to 6/18 in the right eye (Figure 1C (Fig. 1)) and 6/60 in the left eye (Figure 2D (Fig. 2)) with immature cataract in both the eyes.