Posters

Late sterile scleral necrosis after use of Goretex suture for fixing capsular tension segment

Poster Details

First Author: M. Sayee T INDIA

Co Author(s):    S. Das   T. SJ   L. Kaweri   S. Shetty   B. Shetty   H. M     

Abstract Details

Purpose:

To report a case of aseptic scleral necrosis following Capsular Tension Segment (CTS) fixation with Goretex Suture

Setting:

Vellore Eye Hospital

Methods:

A patient with subluxated cataract underwent phacoemulsification with foldable intraocular lens (IOL) with a Capsular Tension Segment sutured to the sclera with Goretex suture through a Hoffman's Pocket. The first 3 months postoperative period was uneventful after which he presented with congestion in the region of the Hoffman's Pocket. There was mild anterior chamber reaction. Though it responded to topical antibiotics and steroids, it recurred after 3 months and progressed to scleral necrosis with exposure of the suture knot. He underwent suture trimming and scleral patch graft. The best corrected vision remained normal throughout the entire period

Results:

The graft took well and despite having trimmed the Goretex Suture, the IOL remained stable and well centered. There was no drop in best corrected vision and remained at 6/9, which was achieved 6 weeks after surgery. The patient remained comfortable 6 months following the patch graft with no signs of inflammation or necrosis

Conclusions:

Scleral necrosis following the use of Goretex Suture has not been reported. Though the use is off label, it is commonly used for fixation of Scleral Fixated IOLs and CTS. Here the necrosis may have been precipitated by inadvertent superficial dissection of the Hoffman's Pocket. Though the Goretex suture creates a larger knot than prolene sutures due to its larger thread size, it usually does not incite any tissue reaction due to its extremely pliant nature. One has to be careful during dissection of the Hoffman's Pocket and fewer throws while forming the knot with this suture

Financial Disclosure:

NONE