Chronic inflammatory granulomata after use of GenTeal gel during strabismus surgery

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Raymond G Areaux, Amanda C Maltry

Abstract

Subconjunctival granulomata developed in 2 patients after use of GenTeal gel to lubricate the cornea during strabismus repair. We report the clinical findings and histopathology of the subconjunctival nodules. These lesions are similar to those previously reported following use of GenTeal gel in retinal surgery and use of similar large polymers in nonocular surgeries. Copious irrigation should be considered when conjunctival wounds are exposed to GenTeal gel, and alternative corneal wetting agents should be considered for use during strabismus surgery.

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