Abstract
<br>Tenon's tissue with good tensile strength, pliability, and availability is a valuable patch graft resource for small corneal perforations. We have extended its tectonic use to other corneal melts and leaks with anatomic success. Tenon's patch graft (TPG) was employed for tissue building in four different corneal melts: Mooren's ulcer, leaking cicatrix, persistent epithelial defect, and perforation. The minimum follow-up was six months. TPG is less resource-intensive and longer lasting than cyanoacrylate glue and multilayered-amniotic grafts. It is safe, providing good tectonic outcomes not only in corneal perforations but also in melts secondary to infective, immune, and toxic causes.<br>
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