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Related Experiment Videos

Giant papillary conjunctivitis from an exposed prolene suture.

O W Skrypuch, N R Willis

    Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
    |August 1, 1986
    PubMed
    Summary

    Giant papillary conjunctivitis (GPC) can occur after cataract surgery due to retained suture fragments. Removing these fragments resolved the conjunctival inflammation, confirming GPC as the cause.

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    Area of Science:

    • Ophthalmology
    • Pathology

    Background:

    • Giant papillary conjunctivitis (GPC) is an inflammatory condition affecting the conjunctiva.
    • Sutures are commonly used to close cataract incisions, and complications can arise from retained foreign material.

    Observation:

    • A case of unilateral GPC developed months after cataract surgery.
    • The GPC was associated with a fine-gauge prolene suture used for wound closure.
    • Suture relaxation was performed to address surgically induced astigmatism.

    Findings:

    • Complete resolution of conjunctival inflammation occurred after removal of retained suture fragments.
    • Histopathological analysis of the conjunctival biopsy showed features similar to GPC seen in other contexts, such as vernal conjunctivitis and contact lens wear.

    Implications:

    • Retained suture fragments can be a cause of delayed-onset GPC after cataract surgery.
    • Prompt identification and removal of offending sutures can effectively manage this complication.
    • Understanding the histopathological similarities aids in diagnosing GPC regardless of the etiology.

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