Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture
Abstract Purpose To report a case of scleral melting following implantation of a Gore-Tex®-sutured scleral-fixated intraocular lens (SFIOL). Methods Single-case report. Results A 39-year-old man with a history of blunt trauma and crystalline lens subluxation presented with a 3-week history of left-e...
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2025-04-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-03926-y |
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| author | Hatem Kalantan Abdulrahman Albuainain Wael Otaif Abdullah M. Alfawaz Mohammed M. Abusayf Abdulrahman F. AlBloushi |
| author_facet | Hatem Kalantan Abdulrahman Albuainain Wael Otaif Abdullah M. Alfawaz Mohammed M. Abusayf Abdulrahman F. AlBloushi |
| author_sort | Hatem Kalantan |
| collection | DOAJ |
| description | Abstract Purpose To report a case of scleral melting following implantation of a Gore-Tex®-sutured scleral-fixated intraocular lens (SFIOL). Methods Single-case report. Results A 39-year-old man with a history of blunt trauma and crystalline lens subluxation presented with a 3-week history of left-eye pain, redness, and foreign-body sensation. He had undergone pars plana vitrectomy, and SFIOL using silk sutures one-year earlier; however, the intraocular lens (IOL) was unstable and was replaced with a Gore-Tex® suture. On presentation, his best-corrected visual acuity was counting fingers near the face in the left eye. The left eye had episcleral and conjunctival injection, clear cornea, a deep anterior chamber with occasional cellular reaction, a peaked pupil inferonasally, and temporal subluxation of the IOL. A large area of active temporal scleral melt with prolapsed uveal tissue and an exposed Gore-Tex suture knot were noted. Systemic work-up was unremarkable. Oral prednisolone and methotrexate were initiated, and a scleral patch graft was performed to cover the exposed suture and enhance the structural integrity of the scleral wall. However, the scleral melt continued to involve the nasal side, and the patient underwent another scleral patch grafting over the nasal side. Rituximab was also administered, but the scleral melt persisted. Therefore, the Gore-Tex suture and IOL were removed. Five months later, the patient remained stable without further melting. Conclusions Although Gore-Tex suture-related complications are rare, further long-term studies are warranted. The early detection and treatment of suture-related complications can optimize visual outcomes and prevent devastating sequelae. |
| format | Article |
| id | doaj-art-8f9c2c86a7c54002bbbb2475de583750 |
| institution | DOAJ |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
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| series | BMC Ophthalmology |
| spelling | doaj-art-8f9c2c86a7c54002bbbb2475de5837502025-08-20T03:04:49ZengBMCBMC Ophthalmology1471-24152025-04-012511610.1186/s12886-025-03926-yScleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) sutureHatem Kalantan0Abdulrahman Albuainain1Wael Otaif2Abdullah M. Alfawaz3Mohammed M. Abusayf4Abdulrahman F. AlBloushi5Department of Ophthalmology, College of Medicine, King Saud UniversityEye and Laser Center, Bahrain Defence Force Hospital, Royal Medical Services, Military HospitalDepartment of Ophthalmology, King Khalid University Medical CityDepartment of Ophthalmology, College of Medicine, King Saud UniversityDepartment of Ophthalmology, College of Medicine, King Saud UniversityDepartment of Ophthalmology, College of Medicine, King Saud UniversityAbstract Purpose To report a case of scleral melting following implantation of a Gore-Tex®-sutured scleral-fixated intraocular lens (SFIOL). Methods Single-case report. Results A 39-year-old man with a history of blunt trauma and crystalline lens subluxation presented with a 3-week history of left-eye pain, redness, and foreign-body sensation. He had undergone pars plana vitrectomy, and SFIOL using silk sutures one-year earlier; however, the intraocular lens (IOL) was unstable and was replaced with a Gore-Tex® suture. On presentation, his best-corrected visual acuity was counting fingers near the face in the left eye. The left eye had episcleral and conjunctival injection, clear cornea, a deep anterior chamber with occasional cellular reaction, a peaked pupil inferonasally, and temporal subluxation of the IOL. A large area of active temporal scleral melt with prolapsed uveal tissue and an exposed Gore-Tex suture knot were noted. Systemic work-up was unremarkable. Oral prednisolone and methotrexate were initiated, and a scleral patch graft was performed to cover the exposed suture and enhance the structural integrity of the scleral wall. However, the scleral melt continued to involve the nasal side, and the patient underwent another scleral patch grafting over the nasal side. Rituximab was also administered, but the scleral melt persisted. Therefore, the Gore-Tex suture and IOL were removed. Five months later, the patient remained stable without further melting. Conclusions Although Gore-Tex suture-related complications are rare, further long-term studies are warranted. The early detection and treatment of suture-related complications can optimize visual outcomes and prevent devastating sequelae.https://doi.org/10.1186/s12886-025-03926-yGore-Tex®Scleral fixationIntraocular lensNecrotizing scleritisComplicationsSuture |
| spellingShingle | Hatem Kalantan Abdulrahman Albuainain Wael Otaif Abdullah M. Alfawaz Mohammed M. Abusayf Abdulrahman F. AlBloushi Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture BMC Ophthalmology Gore-Tex® Scleral fixation Intraocular lens Necrotizing scleritis Complications Suture |
| title | Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture |
| title_full | Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture |
| title_fullStr | Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture |
| title_full_unstemmed | Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture |
| title_short | Scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene (Gore-Tex®) suture |
| title_sort | scleral melting following scleral sutured intraocular lens using a polytetrafluoroethylene gore tex r suture |
| topic | Gore-Tex® Scleral fixation Intraocular lens Necrotizing scleritis Complications Suture |
| url | https://doi.org/10.1186/s12886-025-03926-y |
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