Selective Localized Tenonplasty for Corneal Burns Based on the Findings of Ocular Surface Fluorescein Angiography

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Purpose:To report the results of a selective localized tenonplasty procedure based on findings of ocular surface fluorescein angiography (FA).Methods:Six consecutive patients with severe chemical burns were included in this study. Using fluorescein angiogram images, patients underwent selective localized tenonplasty to cover the identified ischemic areas in FA.Results:FA 1 week after surgery showed a perfused ocular surface in all eyes except for 1 quadrant of limbal ischemia in 1 eye. After the second tenonplasty, recirculation was also detected in that quadrant. None of the eyes perforated during the follow-up period.Conclusions:We observed acceptable outcomes in our patients after selective tenonplasty based on ocular surface angiography.

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