title: Extrusion of non-absorbable suture from a superior oblique tuck without loss of surgical effect.
abstract: BACKGROUND
  Superior oblique tuck is an effective procedure for the treatment of superior oblique palsy. There has been no report of the extrusion of the non-absorbable suture typically used in this procedure. We describe a case of late extrusion of the non-absorbable suture used in a superior oblique tuck.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A 4 year old boy underwent a successful left superior oblique tuck for a left superior oblique palsy. Eleven months after surgery, the non-absorbable suture used forf the tuck extruded coincidentally with ocular trauma. The suture was slightly adherent to a suture granuloma in the supranasal quadrant of the left eye and removed without loss of surgical effect of the superior oblique tuck.
  
  
  CONCLUSIONS
  Late extrusion of a non-absorbable suture used in a superior oblique tuck may not result in loss of surgical effect. However, this finding does not imply the acceptability of using an absorbable, instead of a non-absorbable, suture in this procedure.
authors: Department of Ophthalmology, the abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, OH 45229-3039, USA. michael.yang@cchmc.org
authors: Michael B
authors: MB
authors: Yang
mesh_terms: D002675:Child, Preschool; D005131:Eye Injuries / Q000209:etiology; D005548:Foreign-Body Migration / Q000209:etiology*; D006099:Granuloma / Q000209:etiology; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D011098:Polyglactin 910; D013285:Strabismus / Q000601:surgery; D013537:Sutures; D020432:Trochlear Nerve Diseases / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology
chemical_list: D011098:Polyglactin 910