Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn
Purpose: To study the outcome of tenonplasty in eyes with perilimbal ischemia in acute ocular surface burns. Methods: This was a single-center retrospective study that included all patients presenting between May 2012 and December 2022 with acute ocular surface burn (within 6 weeks from injury) with...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_204_24 |
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| author | Nidhi Gupta Shweta Singh Virender Sangwan Umang Mathur |
| author_facet | Nidhi Gupta Shweta Singh Virender Sangwan Umang Mathur |
| author_sort | Nidhi Gupta |
| collection | DOAJ |
| description | Purpose:
To study the outcome of tenonplasty in eyes with perilimbal ischemia in acute ocular surface burns.
Methods:
This was a single-center retrospective study that included all patients presenting between May 2012 and December 2022 with acute ocular surface burn (within 6 weeks from injury) with perilimbal scleral ischemia, without perforation or previous surgical intervention for the same. All these patients underwent single-stage tenonplasty with amniotic membrane transplantation and medical management. Successful outcome was defined as globe preservation at 6 months.
Results:
Twenty-three eyes of 20 patients were included in our study. Out of these, alkali was the most common offending agent (10 eyes of 8 patients). The extent of scleral ischemia was <90° in seven eyes, 90°–180° in six eyes, and >180° in 10 eyes. The mean interval between the injury and tenonplasty was 16.5 days. Globe integrity in 20 of the 23 eyes was maintained 6 months post injury. Three eyes that developed hypotony at the end of 6 months had more than 180° of perilimbal scleral ischemia at presentation. The extent of scleral ischemia correlated with the development of phthisis bulbi, but the values were not statistically significant (P = 0.081).
Conclusion:
Tenonplasty in the acute stage acts as a globe-salvaging procedure in acute chemical burns with perilimbal scleral ischemia. Extensive scleral ischemia in an acute chemical burn remains a poor prognostic factor for globe integrity in the long term. |
| format | Article |
| id | doaj-art-a350898ef65a42c7b6736ce6fd97db7b |
| institution | OA Journals |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-a350898ef65a42c7b6736ce6fd97db7b2025-08-20T02:11:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-04-0173458258510.4103/IJO.IJO_204_24Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burnNidhi GuptaShweta SinghVirender SangwanUmang MathurPurpose: To study the outcome of tenonplasty in eyes with perilimbal ischemia in acute ocular surface burns. Methods: This was a single-center retrospective study that included all patients presenting between May 2012 and December 2022 with acute ocular surface burn (within 6 weeks from injury) with perilimbal scleral ischemia, without perforation or previous surgical intervention for the same. All these patients underwent single-stage tenonplasty with amniotic membrane transplantation and medical management. Successful outcome was defined as globe preservation at 6 months. Results: Twenty-three eyes of 20 patients were included in our study. Out of these, alkali was the most common offending agent (10 eyes of 8 patients). The extent of scleral ischemia was <90° in seven eyes, 90°–180° in six eyes, and >180° in 10 eyes. The mean interval between the injury and tenonplasty was 16.5 days. Globe integrity in 20 of the 23 eyes was maintained 6 months post injury. Three eyes that developed hypotony at the end of 6 months had more than 180° of perilimbal scleral ischemia at presentation. The extent of scleral ischemia correlated with the development of phthisis bulbi, but the values were not statistically significant (P = 0.081). Conclusion: Tenonplasty in the acute stage acts as a globe-salvaging procedure in acute chemical burns with perilimbal scleral ischemia. Extensive scleral ischemia in an acute chemical burn remains a poor prognostic factor for globe integrity in the long term.https://journals.lww.com/10.4103/IJO.IJO_204_24chemical injurylimbal stem cell deficiencyscleral ischemiatenonplasty |
| spellingShingle | Nidhi Gupta Shweta Singh Virender Sangwan Umang Mathur Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn Indian Journal of Ophthalmology chemical injury limbal stem cell deficiency scleral ischemia tenonplasty |
| title | Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| title_full | Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| title_fullStr | Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| title_full_unstemmed | Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| title_short | Outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| title_sort | outcome of tenonplasty in scleral ischemia secondary to acute ocular surface burn |
| topic | chemical injury limbal stem cell deficiency scleral ischemia tenonplasty |
| url | https://journals.lww.com/10.4103/IJO.IJO_204_24 |
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