Autologous tenon capsule packing to treat posterior exit wound of penetrating injury: A case report

Qian, Yi; Wang, Sang-Sang; Gui, Qian; Chen, Lishuang; Li, Wen-Die

doi:10.12998/wjcc.v9.i19.5211

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…Previous approaches for closure of posterior penetrating or perforating injuries include autologous Tenon packing 5,6 and ab interno suturing. 7 Posterior radial scleral buckles have also been used in cases of posterior perforating eye injuries to support the wound sites and reduce the rates of retinal detachment.…”

Section: Introductionmentioning

confidence: 99%

Internal Plugging of a Traumatic Posterior Perforation Site Using Donor Sclera, Human Amniotic Membrane, and Fibrin Glue: A Novel Surgical Technique

Celo,

Whelan,

Seamone

et al. 2023

Journal of VitreoRetinal Diseases

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Purpose: To describe a novel surgical approach to treat traumatic posterior perforating injuries. Methods: A case and its findings were analyzed. Results: A 21-year-old man presented with bilateral intraocular foreign bodies that were sustained while hammering a metal railway pin. In the left eye, the foreign body was embedded in the posterior scleral wall, resulting in a 2 × 6-mm posterior perforation and partial retinal detachment. Silicone oil tamponade could optimize the chances for retinal reattachment; however, there was concern that the silicone oil would migrate through the posterior defect and into the orbit. Therefore, the perforation site was filled using a 3-layer plug consisting of donor sclera, human amniotic membrane, and fibrin glue. The silicone oil was successfully maintained within the globe; however, the final visual acuity was limited due to proliferative vitreoretinopathy. Conclusions: The efficacy and safety of the 3-layer plug technique should be further validated in similar cases.

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Section: Introductionmentioning

confidence: 99%