Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5211
Peer-review started: December 31, 2020
First decision: March 27, 2021
Revised: April 7, 2021
Accepted: May 7, 2021
Article in press: May 7, 2021
Published online: July 6, 2021
Processing time: 174 Days and 22.5 Hours
This study reports a case of autologous tenon capsule packing to treat the posterior exit wound of penetrating injury.
To treat a 58-year-old male patient with penetrating eyeball injury caused by an iron sheet, we used autologous tenon capsule packing. Two months after removal of the silicone oil, the corrected visual acuity was 0.3, the retina was flat, the tenon capsule graft was in place, the posterior wound closed well, and the intraocular pressure was 15.8 mmHg.
Autologous tenon capsule packing to treat the posterior exit wound of penetrating injury is safe and effective.
Core Tip: Eyeball penetrating injury refers to an open trauma that may allow the exposure of any vulnerant into the eye from one side, and penetrates the entire eyeball and traverses through the other side of the eyeball. Eyeball penetrating injury wounds are divided into entry wound and exit wound. The laceration at the exit wound is often located at the posterior position and is difficult to suture during the first-stage surgery, and any attempt to a reckless suture may cause even greater damage to the eyeball. Thus, our report describes a newly modified technique involving the use of autologous tenon capsule packing to treat the posterior exit wound of penetrating injury.