AlOtaibi Khalid S, Babgi Rafaa, Sesma Gorka
Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Int J Surg Case Rep. 2024 Sep;122:110168. doi: 10.1016/j.ijscr.2024.110168. Epub 2024 Aug 13.
Polyglactin 910 sutures are commonly used in strabismus surgery due to their favorable handling and absorption qualities. However, their potential to cause allergic reactions is poorly documented in medical literature. This case report emphasizes this rare complication, stressing the importance of promptly recognizing and managing such reactions to ensure optimal patient outcomes.
An 11-year-old girl with a history of left congenital partial third nerve palsy was treated with 8-0, polyglactin 910 sutures during a strabismus surgery. However, two days postoperatively, she experienced persistent redness, swelling, and pain in her left eye despite antibiotic therapy. After six days, the sutures were removed, resulting in an immediate reduction in symptoms. By the two-month follow-up, the patient fully recovered, with no signs of inflammation or complications.
This case highlights a rare but crucial allergic reaction to polyglactin 910 sutures used in strabismus surgery. The patient's persistent inflammation, pain, and resistance to antibiotics indicated a localized allergic reaction, rather than an infection. The prompt resolution of symptoms after suture removal supports the diagnosis of suture-related allergic reaction. This case emphasizes the need to consider suture material as a potential cause of postoperative complications, especially when standard treatment fails.
Healthcare providers should be alert to potential allergic reactions to sutures after strabismus surgery. Timely identification and removal are vital for resolving the symptoms and achieving optimal patient outcomes. This case emphasizes the importance of postoperative care protocols that consider allergies to suture material.
聚乙醇酸910缝线因其良好的操作性能和吸收特性，常用于斜视手术。然而，其引发过敏反应的可能性在医学文献中记载较少。本病例报告着重介绍了这种罕见的并发症，强调了及时识别和处理此类反应以确保患者获得最佳治疗效果的重要性。
一名11岁有先天性左侧部分动眼神经麻痹病史的女孩在斜视手术中使用了8-0聚乙醇酸910缝线。然而，术后两天，尽管接受了抗生素治疗，她的左眼仍持续出现发红、肿胀和疼痛。六天后，缝线被拆除，症状立即减轻。到两个月随访时，患者已完全康复，无炎症或并发症迹象。
本病例突出了斜视手术中使用的聚乙醇酸910缝线罕见但关键的过敏反应。患者持续的炎症、疼痛以及对抗生素治疗的抵抗表明是局部过敏反应，而非感染。缝线拆除后症状迅速缓解支持了缝线相关过敏反应的诊断。本病例强调了将缝线材料视为术后并发症潜在原因的必要性，尤其是在标准治疗无效时。
医疗保健提供者应警惕斜视手术后缝线潜在的过敏反应。及时识别和拆除缝线对于缓解症状和实现患者最佳治疗效果至关重要。本病例强调了考虑缝线材料过敏的术后护理方案的重要性。
