Chung Hak Sung, Feder Robert S, Weston Bonnie C, Bryar Paul J
Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Can J Ophthalmol. 2006 Apr;41(2):207-9. doi: 10.1139/I06-011.
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.
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.
我们报告一例结膜炎症，其继发于伪装成肿瘤性病变的残留缝线。对右眼上睑结膜病变进行了切除活检，该病变看似结膜恶性肿瘤。了解到患者有上睑下垂手术史。在麻醉下仔细反复检查，对穹窿结膜施加牵引，发现了一根隐匿的聚丙烯缝线。尽管临床特征典型为恶性肿瘤，但组织学检查仅发现慢性炎症细胞。
对于有可疑结膜病变且有上睑下垂手术史的患者，应仔细探查是否有残留缝线碎片。可能需要在麻醉下进行检查以发现隐匿的缝线。
