Retained strabismus suture material masquerading as nonspecific orbital inflammation.
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.
Harkness Eye Institute, Columbia University, New York, New York.
Alison B
AB
Callahan
Harkness Eye Institute, Columbia University, New York, New York. Electronic address: ss3547@columbia.edu.
Stacy M
SM
Scofield
Harkness Eye Institute, Columbia University, New York, New York.
Pamela F
PF
Gallin
Harkness Eye Institute, Columbia University, New York, New York.
Michael
M
Kazim
D003937:Diagnosis, Differential; D005129:Eye Foreign Bodies / Q000209:etiology; D005260:Female; D005549:Foreign-Body Reaction / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007249:Inflammation / Q000175:diagnosis; D055622:Orbital Myositis / Q000175:diagnosis* / Q000209:etiology; D011091:Polyesters; D013285:Strabismus / Q000601:surgery*; D013537:Sutures / Q000009:adverse effects*; D055815:Young Adult
D011091:Polyesters