AIM: To evaluate the efficacy of simultaneous covering of Tenon's capsule and conjunctival flap for perforated corneal ulcer.

METHODS: Totally 18 cases of perforated corneal ulcer from different causes were covered by Tenon's capsule and conjunctival flap, respectively. After operation, the healing of corneal ulcer, exposed portions of the cornea, postoperative inflammation, anterior chamber formation and complications such as glaucoma, iris adhesion were observed.

RESULTS: Seventeen cases(94%)were healed, the exposed portion of cornea was transparent. No serious infection was encountered, and anterior chamber were formed. Intraocular pressure in 2 cases(11%)of secondary glaucoma was normal under local drug treatment. Iris adhesion was found in 7 cases(39%), evisceration was performed in 1 case(6%)after corneal perforation and staphyloma.

CONCLUSION: The above treatment is a safe and practical approach in case of absence of corneal donor.