Cyanoacrylate-assisted trial eyelid repositioning for epiphora

Cyanoacrylate skin adhesions of the lateral lower eyelid reinforced with surgical tape were created in three patients in order to temporarily correct epiphora due to lid laxity, eyelid malposition, punctal malposition or punctum-eyelid apposition. The cyanoacrylate adhesions resulted in relief of epiphora or aided in establishing the cause of epiphora, and allowed the patient to "sample" the anticipated benefits of corrective lid surgery. Trial eyelid repositioning may be useful in cases where there is only mild or equivocal punctal malposition or lid laxity and the surgeon wishes to predict the effect of corrective lid surgery.