Getting Hooked: A Simple Technique for the Treatment of Adhesive Injuries to the Eyelids

A Case of Pediatric Cyanoacrylate Adhesive Injury to the Eye

A 5-year-old Japanese boy presented to the emergency room of our hospital because his right eye had been glued shut for 2 h following instillation of cyanoacrylate adhesive. The clinical examination showed redness of the right upper and lower lid skin; the right eyelid margins adhered to each other because of matting of the eyelashes, and crystallized glue was found within the matted eyelashes. The “hook” technique, which separates the eyelids using a blunt-tip device, was performed to separate the lids. The technique seems to be simple and safe for physicians such as ophthalmology residents to use to treat cyanoacrylate-induced adhesion of the eyelids of patients who often first present to their local emergency room as in our case.

Paediatric ocular super glue injuries: assessment of two cases

In this report, we elaborate the clinical findings and the optimal management of two cases with ocular glue injuries in two paediatric patients. Both the patients were presented to the ocular emergency with completely closed eyelid and periocular erythema. The eyelids were completely closed due to matting of the eyelashes with glue retention up to lash roots. Thus, in both cases, after the application of local anaesthetic agent, immediate lash trimming was performed along with the removal of crystallised glue particles. However, the ocular surface showed only congestion in absence of any added corneal complications. Patients were followed up with standard treatment protocol as per chemical injuries. Until the end of 5 months, the clinical course was uneventful.