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Thirty-one-year-old male patient was admitted to our clinic due to a painfull and reddish mass developed within one month at the temporal quadrant of his right eye. The case had a history of strabismus surgery for infantile esotropia 24 years ago. Our preliminary diagnosis was sub-Tenon’s abscess and granulation tissue. Orbital magnetic resonance imaging was compatible with granulation tissue measuring 4x10 mm. After failed medical treatment with topical antibiotic and corticosteroid, surgical excision was applied. Purulent material was drained during surgical excision and an non-absorbable suture was detected at the lateral rectus insertion and removed. Histopathological examinations were consistent with chronic inflammatory granulation tissue. About one month after this intervention, similar mass occurred on the medial rectus insertion as before. Surgical excision was applied again, secretory material was drained and an non-absorbable suture was removed. Even after many years of strabismus surgery, granulation tissue and inflammation should be considered depending on non-absorbable sutures.

Suture Granuloma Developed 24 Years After Strabismus Surgery: Case Report