Orbital inflammation as a late complication of frontalis silicone elastomer sling operation for congenital ptosis

PurposeThe purpose of this study is to report a case of nontuberculous mycobacterial infection after frontalis sling surgery.MethodA 65-year-old man presented with bilateral painful, erythematous lesions in the brow and upper eyelids. He had a history of frontalis sling surgery for myopathic ptosis 2 years back and all lesions were found localized to the tract of the silicone rod used in the previous frontalis sling surgery.ResultIncision and drainage of the lesions with microbiological analysis revealed significant growth of coagulase negative staphylococcus and Mycobacterium fortuitum. Sensitivity-based antibiotic treatment with intravenous amikacin was started, but poor response necessitated eventual explantation of both silicone rods for relief of symptoms. Culture of the explanted rods revealed similar results of M. fortuitum infection. Five months after the acute presentation, the patient is asymptomatic.ConclusionNontuberculous mycobacterial infection may be a delayed onset complication in frontalis sling surgery using silicone rods.

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“…This phenomenon is postulated to be due to scarring and fibrosis along the tract of the silicone rod [7]. …”

Section: Discussionmentioning

confidence: 99%

“…Finally, removal of the silicone sling did not result in a recurrence of blepharoptosis. This phenomenon is postulated to be due to scarring and fibrosis along the tract of the silicone rod [ 7 ].…”

Section: Discussionmentioning

confidence: 99%