Extrusion and granuloma formation with mersilene mesh brow suspension
Mutlu, F.M.; Tuncer, K.; Can, C.
Ophthalmic Surgery and Lasers 30(1): 47-51
1999
ISSN/ISBN: 1082-3069 PMID: 9923493 Document Number: 499660
A variety of biologic or synthetic materials have been used in brow suspension ptosis surgery. We describe extrusion and granuloma formation in 5 cases of congenital ptosis operated with Mersilene mesh sling. Case reports with review of literature. Two cases of extrusion and 3 cases of granuloma formation were encountered in 79 eye lids of 52 (6.3%) patients performed for the treatment of congenital ptosis. Mersilene mesh fibers in the cut surface and a foreign body reaction were found by microscopic evaluation of tissue harvested at the time of surgical removal of the sling. Despite the operative precautions, the probability of extrusion and granuloma formation should be in mind in cases of congenital ptosis operated with Mersilene mesh sling, a synthetic material.