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CASE REPORT
Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 33-34

Penetrating keratoplasty following Tenon's patch graft: A clinicopathological correlation

Sushmita G Shah1, Vinita Pandey2, Yogesh C Shah3, Gaurav Y Shah4
1 Department of Cornea and Anterior Segment, Eye Life; Department of Cataract and Refractive Surgery, Netra Mandir, Mumbai, Maharashtra, India
2 Consultant Pathologist, Accura Healthcare and Diagnostics, Mumbai, Maharastra, India
3 Department of Cataract and Refractive Surgery, Netra Mandir, Mumbai, Maharashtra, India
4 Department of Vitreo-Retina and Uveitis, Eye Life, Mumbai, Maharashtra, India

Correspondence Address:
Sushmita G Shah
Department of Cornea and Anterior Segment, Eye Life, 204 Ram Krishna Chambers, Linking Road, Khar West, Mumbai - 400 103, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1098_22

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This report aims to describe the histopathological changes in the cornea following Tenon's patch graft. A 51-year-old male underwent Tenon's patch graft (TPG) for corneal perforation following Therapeutic penetrating keratoplasty which was performed twice for non-resolving microbial keratitis and graft infiltrate, respectively. The infection resolved following TPG resulting in formation of a vascularised scar. An Optical penetrating keratoplasty was performed six months after the TPG. Postoperative period was uneventful. Histo-pathological evaluation of the excised corneal tissue revealed excellent integration of the tenon tissue with the surrounding corneal stromal collagen. Histo-pathological evidence suggests that, tenon's tissue integrates well with surrounding corneal stromal collagen and is probably capable of regenerating new collagen and thus aid in corneal wound healing


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