Tenon’s patch graft to the rescue during COVID-19 pandemic

OBJECTIVE: To report a case of bilateral Mooren’s ulcer with impending corneal perforation in the right eye and perforated peripheral corneal ulcer in the left eye which successfully underwent Tenon’s patch graft (TPG) with multilayered amniotic membrane grafting (AMG) as globe salvaging procedure during COVID-19 pandemic. METHODS: Conjunctival resection was done on both the eyes followed by autologous Tenon’s grafting with overlay amniotic membrane grafting in the left eye with perforation and multilayered AMG with AMG overlay in the right eye with impending perforation. Post-operatively topical antibiotics and steroids were prescribed. RESULTS: At one month follow-up, the Tenon’s graft and multilayered AMG were well-integrated with the surrounding healthy cornea with a good anatomical and visual outcome. CONCLUSION: Autologous Tenon’s patch graft is a simple and cost-effective alternative to preserve globe integrity and prevent complications in emergency cases when immediate access to cornea transplantation is practically challenging.