Abstract

We describe the hybrid technique of tuckin TPG & TABCL for large corneal perforation and fistula. A prospective case series with 3 eyes. 2 had advanced glaucoma with absolute eye, presented with microbial keratitis large corneal perforation. 1 had corneal fistula with healed keratitis and a failed primary TPG alone with leakage from the edges. All were managed with hybrid technique in an emergency to salvage the globe. The technique includes first performing tuck-in TPG and then AC formed with saline and areas of leakage are noted. Only those areas of leakage are supplemented with minimal CG at the edges of the TPG. BCL is placed. Complete epithelization noted at 4 weeks. The advantages of TPG include autologous, no rejection, cost effective & easy availability, and minimal inflammation. The hybrid technique is effective for large corneal perforations to salvage the globe when donor cornea is not available and if primary TPG fails.