Extrusion of non-absorbable suture from a superior oblique tuck without loss of surgical effect.

BACKGROUND

Superior oblique tuck is an effective procedure for the treatment of superior oblique palsy. There has been no report of the extrusion of the non-absorbable suture typically used in this procedure. We describe a case of late extrusion of the non-absorbable suture used in a superior oblique tuck.

RESEARCH

DESIGN

Case report.

CASE REPORT: A 4 year old boy underwent a successful left superior oblique tuck for a left superior oblique palsy. Eleven months after surgery, the non-absorbable suture used forf the tuck extruded coincidentally with ocular trauma. The suture was slightly adherent to a suture granuloma in the supranasal quadrant of the left eye and removed without loss of surgical effect of the superior oblique tuck.

CONCLUSION

Late extrusion of a non-absorbable suture used in a superior oblique tuck may not result in loss of surgical effect. However, this finding does not imply the acceptability of using an absorbable, instead of a non-absorbable, suture in this procedure.