Selective Localized Tenonplasty for Corneal Burns Based on the Findings of Ocular Surface Fluorescein Angiography

Cornea. 2017 Aug;36(8):1014-1017. doi: 10.1097/ICO.0000000000001256.


Purpose: To report the results of a selective localized tenonplasty procedure based on findings of ocular surface fluorescein angiography (FA).

Methods: Six consecutive patients with severe chemical burns were included in this study. Using fluorescein angiogram images, patients underwent selective localized tenonplasty to cover the identified ischemic areas in FA.

Results: FA 1 week after surgery showed a perfused ocular surface in all eyes except for 1 quadrant of limbal ischemia in 1 eye. After the second tenonplasty, recirculation was also detected in that quadrant. None of the eyes perforated during the follow-up period.

Conclusions: We observed acceptable outcomes in our patients after selective tenonplasty based on ocular surface angiography.

MeSH terms

  • Adult
  • Burns, Chemical / diagnosis
  • Burns, Chemical / surgery*
  • Corneal Diseases / diagnosis
  • Corneal Diseases / surgery*
  • Eye Burns / chemically induced*
  • Eye Burns / diagnosis
  • Female
  • Fluorescein Angiography
  • Humans
  • Male
  • Ophthalmologic Surgical Procedures*
  • Tenon Capsule / pathology
  • Tenon Capsule / surgery*
  • Young Adult