{Reference Type}: Case Reports
{Title}: Bilateral sterile sub-tenon abscess with vicryl suture reaction following strabismus surgery: A case report.
{Author}: Neyaz HA;AlGhamdi I;A Alsadhan G;Alkharashi MS;
{Journal}: Int J Surg Case Rep
{Volume}: 120
{Issue}: 0
{Year}: 2024 Jul 1
暂无{DOI}: 10.1016/j.ijscr.2024.109850
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>METHODS: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>CONCLUSIONS: </B>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.