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Related Experiment Videos

[2 years experiences with Tenon-plasty].

M Reim1, B Overkämping, R Kuckelkorn

  • 1Augenklinik, Medizinische Fakultät der RWTH, Aachen.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|December 1, 1992
PubMed
Summary

Tenon plasty is a valuable surgical technique for severe eye burns, particularly those with corneoscleral ulceration. This procedure aids healing and provides a basis for further reconstructive surgery.

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[Acute therapy for eye burns].

Klinische Monatsblatter fur Augenheilkunde·2004

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Ocular Trauma

Background:

  • Severe eye burns often lead to extensive damage, including corneoscleral ulceration and scleral exposure.
  • Traditional reconstructive methods may be limited by conjunctival unavailability and extensive ischemia.

Observation:

  • Tenon plasty was performed on 24 severely burned eyes across 21 patients, utilizing 75 Tenon flaps.
  • The procedure addressed fresh burns with necrotic/ischemic sclera, extended corneoscleral ulcerations, and exposed sclera due to limbal tissue removal.
  • Cases involved extensive damage precluding conjunctival flaps or free transplants due to ischemia.

Findings:

  • Tenon plasty successfully healed corneoscleral ulcerations in all cases.
  • Conjunctival epithelium regeneration occurred within 10-50 days post-surgery.
  • Postoperative observation (6-42 months) revealed artificial epithelium coverage in 14 eyes and keratoplasty in 11 eyes.
  • While some symblephara and corneal turbidity/vascularization occurred, the procedure facilitated healing.

Implications:

  • Tenon plasty is an effective treatment for severe eye burns and corneoscleral ulcerations.
  • The technique shortens intensive inpatient treatment duration.
  • It establishes a stable foundation for subsequent reconstructive ophthalmic surgeries.

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