Blepharoptosis surgery complicated by late suture migration.
OBJECTIVE
To report late suture migration as a complication of blepharoptosis surgery.


METHODS
Case reports.


RESULTS
After upper eyelid blepharoptosis repair, two eyes of two patients developed unusual foreign body reactions and ulceration in the conjunctiva caused by migration of nonabsorbable suture from the levator aponeurosis to the upper conjunctival fornix. The foreign body caused eyelid edema, papillary changes in the upper tarsal conjunctiva, recurrent blepharoptosis, and a foreign body sensation that started more than 3 months after the surgery and persisted until the suture was removed. The sutures, hidden in edematous conjunctiva of the superior fornix, eluded detection.


CONCLUSIONS
Foreign body reaction secondary to suture migration is an uncommon complication of blepharoptosis repair.
Foster
J A
JA
Department of Ophthalmic Plastic and Reconstructive Surgery, Cole Eye Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. fosterj@ccf.org
John
K B
KB
Castro
E
E
Meisler
D M
DM
D000328:Adult; D001763:Blepharoptosis / Q000601:surgery*; D003229:Conjunctival Diseases / Q000209:etiology* / Q000473:pathology; D005143:Eyelids / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000473:pathology; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000473:pathology; D006801:Humans; D011126:Polypropylenes; D011183:Postoperative Complications / Q000473:pathology; D013537:Sutures
D011126:Polypropylenes