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伪装成非特异性眼眶炎症的斜视缝线残留材料。

Retained strabismus suture material masquerading as nonspecific orbital inflammation.

作者信息

Callahan Alison B, Scofield Stacy M, Gallin Pamela F, Kazim Michael

机构信息

Harkness Eye Institute, Columbia University, New York, New York.

Harkness Eye Institute, Columbia University, New York, New York.

出版信息

J AAPOS. 2016 Jun;20(3):280-2. doi: 10.1016/j.jaapos.2016.02.004. Epub 2016 Apr 23.

DOI:10.1016/j.jaapos.2016.02.004
PMID:27112911
Abstract

We report a case of orbital myositis of the superior rectus muscle-levator complex masquerading as nonspecific orbital inflammation but corresponding in location to a known braided polyester "chicken suture" placed 20 years earlier during strabismus surgery. The orbital inflammation was refractory to oral steroids but resolved promptly on surgical removal of the suture material. Although suture material is known to cause foreign body granulomatous reactions, to our knowledge this is the first reported case of a deep, diffuse orbital inflammation attributable to chicken suture placed during strabismus surgery.

摘要

我们报告一例上直肌 - 提上睑肌复合体的眼眶肌炎,其最初表现为非特异性眼眶炎症,但炎症位置与20年前斜视手术中使用的已知编织聚酯“鸡缝线”相对应。眼眶炎症对口服类固醇治疗无效,但在手术取出缝线材料后迅速消退。虽然已知缝线材料会引起异物肉芽肿反应,但据我们所知,这是首例报道的因斜视手术中放置的鸡缝线导致深部弥漫性眼眶炎症的病例。

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