Retained strabismus suture material masquerading as nonspecific orbital inflammation

Alison B Callahan; Stacy M Scofield; Pamela F Gallin; Michael Kazim

doi:10.1016/j.jaapos.2016.02.004

Retained strabismus suture material masquerading as nonspecific orbital inflammation

J AAPOS. 2016 Jun;20(3):280-2. doi: 10.1016/j.jaapos.2016.02.004. Epub 2016 Apr 23.

Authors

Alison B Callahan¹, Stacy M Scofield², Pamela F Gallin¹, Michael Kazim¹

Affiliations

¹ Harkness Eye Institute, Columbia University, New York, New York.
² Harkness Eye Institute, Columbia University, New York, New York. Electronic address: [email protected].

PMID: 27112911
DOI: 10.1016/j.jaapos.2016.02.004

Abstract

We report a case of orbital myositis of the superior rectus muscle-levator complex masquerading as nonspecific orbital inflammation but corresponding in location to a known braided polyester "chicken suture" placed 20 years earlier during strabismus surgery. The orbital inflammation was refractory to oral steroids but resolved promptly on surgical removal of the suture material. Although suture material is known to cause foreign body granulomatous reactions, to our knowledge this is the first reported case of a deep, diffuse orbital inflammation attributable to chicken suture placed during strabismus surgery.

Publication types

Case Reports

MeSH terms

Diagnosis, Differential
Eye Foreign Bodies / etiology
Female
Foreign-Body Reaction / diagnosis*
Foreign-Body Reaction / etiology
Humans
Inflammation / diagnosis
Orbital Myositis / diagnosis*
Orbital Myositis / etiology
Polyesters
Strabismus / surgery*
Sutures / adverse effects*
Young Adult

Substances

Polyesters