Suture reaction masquerading as a conjunctival malignancy

Hak Sung Chung, Robert S. Feder*, Bonnie C. Weston, Paul J. Bryar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Case report: We report a case of conjunctival inflammation secondary to a retained suture masquerading as a neoplastic lesion. Excisional biopsy was performed in the right eye on a superior bulbar conjunctival lesion that appeared to be a conjunctival malignancy. A past history of ptosis surgery was obtained. Careful repeated examination with anesthesia, applying traction to the forniceal conjunctiva, revealed an occult polypropylene suture. Despite clinical features typical of malignancy, histologic examination revealed only chronic inflammatory cells. Comments: Patients with suspicious conjunctival lesions and a history of ptosis surgery should be carefully explored for retained suture fragments. Examination with anesthesia may be needed to find an occult suture.

Original languageEnglish (US)
Pages (from-to)207-209
Number of pages3
JournalCanadian Journal of Ophthalmology
Issue number2
StatePublished - Apr 2006


  • Conjunctival malignancy
  • Ptosis surgery

ASJC Scopus subject areas

  • Ophthalmology

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