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Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 859

Something (jelly) fishy

Department of Refractive Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Radhika Natarajan
Sankara Nethralaya, Medical Research Foundation, 18 College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_848_21

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How to cite this article:
Natarajan R, Nagpal N. Something (jelly) fishy. Indian J Ophthalmol Case Rep 2021;1:859

How to cite this URL:
Natarajan R, Nagpal N. Something (jelly) fishy. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 18];1:859. Available from: https://www.ijoreports.in/text.asp?2021/1/4/859/327709

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.[1] It solves the immediate purpose of tissue building in such small corneal melts[2] [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 Top

Sharma N, Singhal D, Maharana PK, Vajpayee RB. Tuck-in tenon patch graft in corneal perforation. Cornea 2019;38:951-4.  Back to cited text no. 1
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.  Back to cited text no. 2


  [Figure 1], [Figure 2]


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