Document Detail


Scleral necrosis secondary to nonabsorbable suture following ptosis surgery.
MedLine Citation:
PMID:  23274808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a unique case of persistent scleral ulceration in a 68-year-old woman who developed eye redness, pain, and photophobia 2 days following external levator advancement with nonabsorbable suture. Slit-lamp biomicroscopy revealed an area of scleral ulceration superonasal to the limbus. The patient was treated with 6 months of topical steroids with some improvement in her condition but without complete resolution. An exposed suture or foreign body was never directly visualized; however, a mobile nodule was noted upon palpation of the eyelid. Subsequent surgical eyelid exploration revealed a retained polypropylene suture, which was dissected free and removed. Postoperatively, the area of scleral ulceration resolved completely.
Authors:
Beeran Meghpara; Seongmu Lee; Michael T Yen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  29     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2013 Sep-Oct
Date Detail:
Created Date:  2013-09-11     Completed Date:  2014-02-26     Revised Date:  2014-04-21    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e115-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Blepharoptosis / surgery*
Female
Foreign-Body Reaction / diagnosis,  etiology*
Humans
Necrosis / etiology
Oculomotor Muscles / surgery
Polypropylenes*
Postoperative Complications*
Sclera / pathology*
Sutures / adverse effects*
Chemical
Reg. No./Substance:
0/Polypropylenes
Comments/Corrections
Comment In:
Ophthal Plast Reconstr Surg. 2014 Mar-Apr;30(2):193-4   [PMID:  24614556 ]
Ophthal Plast Reconstr Surg. 2014 Mar-Apr;30(2):194   [PMID:  24614557 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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