|Year : 2021 | Volume
| Issue : 4 | Page : 859
Something (jelly) fishy
Radhika Natarajan, Nimisha Nagpal
Department of Refractive Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
|Date of Web Publication||09-Oct-2021|
Dr. Radhika Natarajan
Sankara Nethralaya, Medical Research Foundation, 18 College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Natarajan R, Nagpal N. Something (jelly) fishy. Indian J Ophthalmol Case Rep 2021;1:859
A teenager presented with a central 4 mm persistent epithelial defect with 40% thinning following healed fungal keratitis in his left eye. A Tenon's patch graft was done for tectonic support with a bandage contact lens for epithelial healing.
This 3-month post-operative picture, in sideways diffuse illumination, showcases the well-integrated Tenon's graft along with the red fronds of vascularity it attracted from the conjunctiva, resembling a lion's mane jellyfish [Figure 1]!
|Figure 1: Slit lamp picture of a Tenon's patch graft with early vascularization|
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Tenon's patch graft is autologous, a readily available tissue, with no risk of rejection or disease transmission. It solves the immediate purpose of tissue building in such small corneal melts [Figure 2].
|Figure 2: Diffuse illumination slit lamp picture showing corneal opacity with deep and superficial vascularization|
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Sharma N, Singhal D, Maharana PK, Vajpayee RB. Tuck-in tenon patch graft in corneal perforation. Cornea 2019;38:951-4.
Korah S, Selvin SS, Pradhan ZS, Jacob P, Kuriakose T. Tenons patch graft in the management of large corneal perforations. Cornea 2016;35:696-9.
[Figure 1], [Figure 2]