%0 Case Reports
%T Bilateral sterile sub-tenon abscess with vicryl suture reaction following strabismus surgery: A case report.
%A Neyaz HA
%A AlGhamdi I
%A A Alsadhan G
%A Alkharashi MS
%J Int J Surg Case Rep
%V 120
%N 0
%D 2024 Jul 1
%M 38838585
暂无%R 10.1016/j.ijscr.2024.109850
%X UNASSIGNED: After strabismus surgery, infections and complications are uncommon but avoidable with the right aseptic measures. Rarely have cases of non-infectious sub-tenon abscesses been documented in the past; these cases need to be appropriately recognized and treated.
METHODS: In this report we describe a case of bilateral sub-tenon abscess 4 weeks after medial rectus recession. Despite receiving topical antibiotics for 7 days, there was no improvement, and multiple conjunctival cultures and sensitivity showed no growth. Both eye's sub-tenon abscess was drained, irrigated with gentamicin, and the fragile suture was removed.
UNASSIGNED: Sub-tenon abscess has been associated with bacterial infection which has more sever presentation. Several facts, including the lack of organisms in the pre-operative and intraoperative cultures, the presence of big cells resembling foreign bodies, and the improvement that occurred after suture extrusion, make infection unlikely in this case.
CONCLUSIONS: We concluded that suture reaction is most likely to be responsible for a late-onset sub-tenon abscess with a negative culture and no response to antibiotics, and the suture should be removed.