Delayed-onset infection by atypical pathogens 35 years post-frontalis sling surgery

Frontalis sling suspension (FSS) remains a venerable surgical intervention employed in the management of congenital eyelid ptosis, particularly in cases of compromised levator function. Despite its prevalence, the array of complications associated with this procedure is well-explored and meticulously documented. In this report, we delineate the intriguing case of a 57-year-old male patient who underwent FSS three and a half decades prior, only to manifest recurrent preseptal abscess formation at the silicone rod (SR) site a staggering 35 years post-surgery. This instance stands out not only for the unprecedented delay of abscess onset after FSS but also for the novelty of the microbial strains isolated from this anatomical location, previously unexplored in the medical literature.