Autologous tenon capsule packing to treat posterior exit wound of penetrating injury: A case report

Figure 1  Orbital computed tomography showed a foreign body behind the right eyeball located discontinuously with the posterior wall of the eyeball.

Figure 2 Ultrasound images. A: Ultrasound image of the fundus of the right eye after the first-stage scleral suturing showing opacity of the vitreous body in the right eye, with an abnormal echo of eyeball wall; B: Opel fundus image showing the vitreous hemorrhage with clots in the anterior retina of the posterior pole.

Figure 3 Intraoperative fundus photographs. A: Intraoperative fundus photograph showing a penetrating port with a transverse diameter of about one pupillary distance (PD) seen in the eyeball wall at two PD below the temporal region of the macula in the right eye; B: The autologous fascia was packed in the posterior exit wound, on which the surrounding inner limiting membrane was peeled off, flipped, and covered during the operation.

Figure 4 Surgery diagram. Green arrow shows autologous tenon capsule packing in the posterior exit wound.

Figure 5 Ophthalmological examination after surgery A: Opel fundus image and optical coherence tomography (OCT) at 2 wk after surgery. The Opel fundus image shows that the autophagic fascia was in place in the submacrotemporal laceration of the right eye, with the hole closed and the retina flat. OCT examination showed that the stuffing tissue was protruded in place at the laceration, and the surrounding retina was flattened; B and C: Opel fundus images and OCT at 5 mo after surgery and 2 mo after removal of the silicone oil. The Opel fundus image shows that the autophagic fascia was in place in the submacrotemporal laceration of the right eye, with the hole closed and the retina flat. OCT showed that the stuffing tissue in the laceration was in place and connected with the surrounding tissue, and the surrounding retina was flat.