Tenon's patch graft for sterile perforation: follow-up with serial, high-resolution, anterior-segment, optical...

Management of corneal perforation depends on the size, location and cause of the lesion. Smaller perforations can be managed with tissue adhesives (TAs), amniotic membrane transplantation or Tenon's patch graft (TPG). Tenon's capsule is an autologous transplant and, as such, does not require to be supplied by an eye bank support. A patient with sterile perforation after foreign body removal came to us. Since the application of TA was already unsuccessful, TPG was performed. The graft integrated well and healed with a vascularised scar. We report the integration of the TPG at the perforation site using high-resolution, anterior-segment, optical coherence tomography.