Suture reaction masquerading as a conjunctival malignancy

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

doi:10.1139/I06-011

Suture reaction masquerading as a conjunctival malignancy

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

^*Corresponding author for this work

Ophthalmology

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	207-209
Number of pages	3
Journal	Canadian Journal of Ophthalmology
Volume	41
Issue number	2
DOIs	https://doi.org/10.1139/I06-011
State	Published - Apr 2006

Funding

Supported in part by an unrestricted research grant from Research to Prevent Blindness (New York) and a core grant (EY 1765-26) from the National Eye Institute.

Keywords

Conjunctival malignancy
Ptosis surgery

ASJC Scopus subject areas

Ophthalmology

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10.1139/I06-011

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title = "Suture reaction masquerading as a conjunctival malignancy",

abstract = "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.",

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AU - Chung, Hak Sung

AU - Feder, Robert S.

AU - Weston, Bonnie C.

AU - Bryar, Paul J.

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N2 - 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.

AB - 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.

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Suture reaction masquerading as a conjunctival malignancy

Abstract

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Keywords

ASJC Scopus subject areas

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