Dr. Price encourages surgeons to ponder 3 questions when managing graft failure:

• Why did the graft fail?
• What is the chance of success if you reoperate?
• What has to change to make the new graft work?

After ruling out environmental failures, the least invasive method typically provides the best outcomes. When there is no chance of visual recovery, there is always the option to do nothing, or if there is pain, to choose the procedure that minimizes or eliminates pain and discomfort, such as a conjunctival flap or some type of repeat graft.