DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.020

Pages: 665-670

Corneal perforations are defined by a total loss of the various corneal layers of varying significance, which may be of infectious, traumatic, trophic, immunological, or inflammatory origin, affecting both the functional and anatomical prognosis of the eye. Management involves closing the corneal perforation as soon as possible for optimal anatomical and functional recovery. Objective: To define Tenon patch grafting as an effective and promising surgical technique in the management of corneal perforations, especially in developing countries with good anatomical and functional results. Methods: Prospective study collecting epidemiological and clinical data as well as anatomical and functional outcomes of 24 patients treated with this surgical technique over a one-year period, between January 2021 and December 2021; whose follow-up was conducted both by the slit lamp and anterior segment OCT during the follow-up period. Results: The Tenon's capsule graft has demonstrated its effectiveness in the management of corneal perforations, with immediate closure of the corneal perforation achieved in 23 cases, representing 95.83% of our study. Regarding the functional outcomes of our series, the mean final visual acuity was 2.04 Log MAR. Our study has demonstrated that the OCT of the anterior segment constitutes a non-invasive, effective, and objective means in the follow-up period. Conclusion: Tenon graft is effective, promising, and less costly surgical technique, as shown by several studies, particularly useful when corneal grafts are not available and especially in emergencies.