What is your preferred approach to managing a patient with tube exposure?

I typically put the patient immediately on a topical antibiotic until I can find OR time to surgically fix. I have seen others try Prokera or amniotic membrane grafts in the clinic if patients are very opposed to surgical correction, though these haven't worked well in my experience. I find that mov...

If you can free up conj, a split-thickness corneal patch graft works well.

The gold standard is probably to scleral flap/tunnel to cover the tube and recover with conj and a possible patch graft. I refer out for this, there are some very talented surgeons who make this look easy.

If the conj is shot...