Immortal plain gut sutures: A case report
Purpose: We report the case of a 79-year-old male who presented with irritation and foreign body sensation due to the subconjunctival plain gut sutures that did not dissolve three years after undergoing pars plana vitrectomy (PPV) for macular hole repair. Observation: A 79-year-old male presented wi...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622002079 |
| _version_ | 1811231650885926912 |
|---|---|
| author | Hannah Anderson Kathryn Lynn Raziyeh Mahmoudzadeh Tatyana Milman Manish Jain Sunir J. Garg |
| author_facet | Hannah Anderson Kathryn Lynn Raziyeh Mahmoudzadeh Tatyana Milman Manish Jain Sunir J. Garg |
| author_sort | Hannah Anderson |
| collection | DOAJ |
| description | Purpose: We report the case of a 79-year-old male who presented with irritation and foreign body sensation due to the subconjunctival plain gut sutures that did not dissolve three years after undergoing pars plana vitrectomy (PPV) for macular hole repair. Observation: A 79-year-old male presented with foreign body sensation and irritation in his left eye. On slit lamp examination, the source of the foreign body sensation was two apparently intact plain gut sutures were visible under the conjunctiva, nasal and temporal to the cornea. These plain gut sutures were placed at the conclusion of PPV surgery three years prior to presentation. After discussion, the patient elected suture removal, and two thin, translucent suture fragments were removed. Histopathologic evaluation revealed eosinophilic dense collagenous material with frayed edges, compatible with gut suture, associated with rare macrophages and scant fibrous tissue. Conclusion and importance: The sclerotomies created for PPV occasionally need to be sutured at the conclusion of surgery to ensure wound closure, to retain tamponade, or to reduce endophthalmitis risk. Plain gut sutures have been shown to cause less scleral inflammation and to improve patient comfort compared to Vicryl sutures. However, in this case the plain gut sutures had not dissolved three years after PPV and had caused discomfort for patient and needed to be removed. |
| first_indexed | 2024-04-12T10:48:37Z |
| format | Article |
| id | doaj.art-0b3615e568574600a3774a5aee158954 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-12T10:48:37Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-0b3615e568574600a3774a5aee1589542022-12-22T03:36:19ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101461Immortal plain gut sutures: A case reportHannah Anderson0Kathryn Lynn1Raziyeh Mahmoudzadeh2Tatyana Milman3Manish Jain4Sunir J. Garg5Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USAMid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, PA, USAMid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, PA, USAPathology Department, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USAVCSG Institute of Medical Science & Research, Srinagar, Garhwal (UK), 246174, IndiaMid Atlantic Retina, The Retina Service of Wills Eye Hospital, Philadelphia, PA, USA; Corresponding author. Mid Atlantic Retina, The Retina Service of Wills Eye Hospital, 840 Walnut Street, Suite 1020, Philadelphia, PA, 19107, USA.Purpose: We report the case of a 79-year-old male who presented with irritation and foreign body sensation due to the subconjunctival plain gut sutures that did not dissolve three years after undergoing pars plana vitrectomy (PPV) for macular hole repair. Observation: A 79-year-old male presented with foreign body sensation and irritation in his left eye. On slit lamp examination, the source of the foreign body sensation was two apparently intact plain gut sutures were visible under the conjunctiva, nasal and temporal to the cornea. These plain gut sutures were placed at the conclusion of PPV surgery three years prior to presentation. After discussion, the patient elected suture removal, and two thin, translucent suture fragments were removed. Histopathologic evaluation revealed eosinophilic dense collagenous material with frayed edges, compatible with gut suture, associated with rare macrophages and scant fibrous tissue. Conclusion and importance: The sclerotomies created for PPV occasionally need to be sutured at the conclusion of surgery to ensure wound closure, to retain tamponade, or to reduce endophthalmitis risk. Plain gut sutures have been shown to cause less scleral inflammation and to improve patient comfort compared to Vicryl sutures. However, in this case the plain gut sutures had not dissolved three years after PPV and had caused discomfort for patient and needed to be removed.http://www.sciencedirect.com/science/article/pii/S2451993622002079Pars plana vitrectomySclerotomy closurePlain gut suture |
| spellingShingle | Hannah Anderson Kathryn Lynn Raziyeh Mahmoudzadeh Tatyana Milman Manish Jain Sunir J. Garg Immortal plain gut sutures: A case report American Journal of Ophthalmology Case Reports Pars plana vitrectomy Sclerotomy closure Plain gut suture |
| title | Immortal plain gut sutures: A case report |
| title_full | Immortal plain gut sutures: A case report |
| title_fullStr | Immortal plain gut sutures: A case report |
| title_full_unstemmed | Immortal plain gut sutures: A case report |
| title_short | Immortal plain gut sutures: A case report |
| title_sort | immortal plain gut sutures a case report |
| topic | Pars plana vitrectomy Sclerotomy closure Plain gut suture |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622002079 |
| work_keys_str_mv | AT hannahanderson immortalplaingutsuturesacasereport AT kathrynlynn immortalplaingutsuturesacasereport AT raziyehmahmoudzadeh immortalplaingutsuturesacasereport AT tatyanamilman immortalplaingutsuturesacasereport AT manishjain immortalplaingutsuturesacasereport AT sunirjgarg immortalplaingutsuturesacasereport |