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Tenonplasty for closing defects during sclerocorneal surgery—A brief review of its anatomy and clinical applications
Author(s) -
Fries Fabian N.,
Suffo Shady,
Daas Loay,
Seitz Berthold,
Fiorentzis Miltiadis,
Viestenz Arne
Publication year - 2018
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.22938
Subject(s) - mortise and tenon , medicine , capsule , surgery , anatomy , botany , structural engineering , engineering , biology
To provide insight into the clinical anatomy of Tenon's capsule and to describe a technique to manage sclerocorneal defects using autologous Tenon's tissue. A thin layer of Tenon's capsule harvested from the patient's own eye is used to seal the defect and act as a scaffold. The Tenon's flap is spread over the defect and held in place by Vicryl sutures. A bandage contact lens is then placed on the eye. Tenon's capsule is composed of thick fibrous tissue with smooth muscle fibers and a thin posterior capsule of orbital fat. It is rich in fibroblasts, which can accelerate wound healing and eventually lead to robust scarring without risk of immunogenicity and without cost. Tenonplasty uses easily‐available autologous Tenon's tissue in patients with sclerocorneal defects to preserve globe morphology. The technique is a feasible alternative not limited by the availability of graft tissue. Clin. Anat. 31:72–76, 2018. © 2017 Wiley Periodicals, Inc.