PDF(Pubmed)
Abstract：
UNASSIGNED: Polyglactin 910 sutures are commonly used in strabismus surgery due to their favorable handling and absorption qualities. However, their potential to cause allergic reactions is poorly documented in medical literature. This case report emphasizes this rare complication, stressing the importance of promptly recognizing and managing such reactions to ensure optimal patient outcomes.
METHODS: An 11-year-old girl with a history of left congenital partial third nerve palsy was treated with 8-0, polyglactin 910 sutures during a strabismus surgery. However, two days postoperatively, she experienced persistent redness, swelling, and pain in her left eye despite antibiotic therapy. After six days, the sutures were removed, resulting in an immediate reduction in symptoms. By the two-month follow-up, the patient fully recovered, with no signs of inflammation or complications.
UNASSIGNED: This case highlights a rare but crucial allergic reaction to polyglactin 910 sutures used in strabismus surgery. The patient\'s persistent inflammation, pain, and resistance to antibiotics indicated a localized allergic reaction, rather than an infection. The prompt resolution of symptoms after suture removal supports the diagnosis of suture-related allergic reaction. This case emphasizes the need to consider suture material as a potential cause of postoperative complications, especially when standard treatment fails.
CONCLUSIONS: Healthcare providers should be alert to potential allergic reactions to sutures after strabismus surgery. Timely identification and removal are vital for resolving the symptoms and achieving optimal patient outcomes. This case emphasizes the importance of postoperative care protocols that consider allergies to suture material.
METHODS: An 11-year-old girl with a history of left congenital partial third nerve palsy was treated with 8-0, polyglactin 910 sutures during a strabismus surgery. However, two days postoperatively, she experienced persistent redness, swelling, and pain in her left eye despite antibiotic therapy. After six days, the sutures were removed, resulting in an immediate reduction in symptoms. By the two-month follow-up, the patient fully recovered, with no signs of inflammation or complications.
UNASSIGNED: This case highlights a rare but crucial allergic reaction to polyglactin 910 sutures used in strabismus surgery. The patient\'s persistent inflammation, pain, and resistance to antibiotics indicated a localized allergic reaction, rather than an infection. The prompt resolution of symptoms after suture removal supports the diagnosis of suture-related allergic reaction. This case emphasizes the need to consider suture material as a potential cause of postoperative complications, especially when standard treatment fails.
CONCLUSIONS: Healthcare providers should be alert to potential allergic reactions to sutures after strabismus surgery. Timely identification and removal are vital for resolving the symptoms and achieving optimal patient outcomes. This case emphasizes the importance of postoperative care protocols that consider allergies to suture material.
摘要：
■Polyglactin910缝线由于其良好的处理和吸收质量而通常用于斜视手术。然而,它们引起过敏反应的可能性在医学文献中记录很少。这个病例报告强调了这种罕见的并发症,强调及时识别和管理此类反应以确保最佳患者预后的重要性。
方法：在斜视手术期间，对一名11岁的女孩进行了8-0，polyglactin910缝线治疗。然而,术后两天,她经历了持续的发红，肿胀,尽管抗生素治疗，她的左眼疼痛。六天后,缝线被移除,导致症状立即减轻。通过两个月的随访,病人完全康复,没有炎症或并发症的迹象。
■该病例突出了对斜视手术中使用的polyglactin910缝线的罕见但关键的过敏反应。病人持续的炎症,疼痛,对抗生素的耐药性表明局部过敏反应，而不是感染。缝线移除后症状的迅速缓解支持缝线相关过敏反应的诊断。这种情况强调需要考虑缝合材料作为术后并发症的潜在原因，特别是当标准治疗失败时。
结论：医疗保健提供者应警惕斜视手术后对缝线的潜在过敏反应。及时识别和去除对于解决症状和实现最佳患者结果至关重要。这种情况强调了考虑对缝合材料过敏的术后护理方案的重要性。
方法：在斜视手术期间，对一名11岁的女孩进行了8-0，polyglactin910缝线治疗。然而,术后两天,她经历了持续的发红，肿胀,尽管抗生素治疗，她的左眼疼痛。六天后,缝线被移除,导致症状立即减轻。通过两个月的随访,病人完全康复,没有炎症或并发症的迹象。
■该病例突出了对斜视手术中使用的polyglactin910缝线的罕见但关键的过敏反应。病人持续的炎症,疼痛,对抗生素的耐药性表明局部过敏反应，而不是感染。缝线移除后症状的迅速缓解支持缝线相关过敏反应的诊断。这种情况强调需要考虑缝合材料作为术后并发症的潜在原因，特别是当标准治疗失败时。
结论：医疗保健提供者应警惕斜视手术后对缝线的潜在过敏反应。及时识别和去除对于解决症状和实现最佳患者结果至关重要。这种情况强调了考虑对缝合材料过敏的术后护理方案的重要性。
