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April 1961


Author Affiliations

St. Mary's Memorial Hospital Montreal, Canada

Arch Ophthalmol. 1961;65(4):615. doi:10.1001/archopht.1961.01840020617029

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To the Editor:  —I am presenting the following case report as comment to the article entitled, "Catgut Allergy in Eye Muscle Surgery," by Apt, Costenbader, Parks, and Albert, which appeared in the January, 1960 issue of the A.M.A. Archives of Ophthalmology.A 3-year-old patient underwent surgery for strabismus. A resection and recession operation was performed on the right eye. The postoperative course was uneventful at first, until after one week when the eye became increasingly red, and a cystic swelling appeared over the area where the muscles had been attached to the sclera. The swelling of the conjunctiva was quite pronounced at that time, especially over the attachment of the medial rectus muscle. Despite the use of steroids, the swelling diminished only slightly over the medial rectus, while the swelling over the lateral rectus disappeared completely. The edematous conjunctiva appeared to resemble a cystic lesion, as seen in instances after

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