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.
Bibliographical noteFunding Information:
This work was supported in part by an unrestricted grant to the Department of Ophthalmology and Visual Neurosciences, University of Minnesota by Research to Prevent Blindness Inc , New York, NY.
© 2018 American Association for Pediatric Ophthalmology and Strabismus
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