[Long-term results of Tenon-plasty in treatment of severe XXXX ].

@entity1 @entity267 @entity63 @entity1066 @entity735 @entity11350
From November 1986 to December 1993, 50 @entity1 with 62 @entity11350 were treated with Tenon plasty. Forty-one eyes showed @entity63 , while 21 eyes had developed @entity1066 . Surgery was done 3-126 days after the injury. A total of 210 quadrants was treated with Tenon plasty. Epithelization of the Tenon sheets was complete within 21 days in 79% and in all eyes up to 51 days. In all eyes @entity1066 could be prevented or healed. In 48% isolated symblepharon formation or severe scarring of the fornices developed within 3 months after Tenon plasty. In these cases restoration of the conjunctiva was achieved by transplantation of autologous conjunctiva or nasal and buccal mucosa. Spontaneous epithelization of the burned @entity267 was achieved in 25.8%. In 36 eyes penetrating keratoplasty was performed. Sixteen (44.5%) grafts failed due to surface problems, while 12 (33.3%) grafts failed because of an endothelial immune reaction. Tenon plasty proved to be successful in preventing early @entity735 . However, the prognosis for penetrating keratoplasty in these eyes is limited due to surface problems and immune reactions.
