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Ultrasound Cyclo Plasty in Eyes with Glaucoma
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[Inadvertent instillation of superglue in both eyes should not be treated conservatively]

Carsten Øgard1, Hadi Kjaerbo, Torben Lykke Sørensen

  • 1Øjenafdelingen, Roskilde Sygehus, Sygehus Nord, 4000 Roskilde, Denmark. ogard@dadlnet.dk

Ugeskrift for Laeger
|October 22, 2010
PubMed

Insights

Accidental eye gluing in children requires immediate surgical separation of eyelids under general anesthesia, not watchful waiting. This approach minimizes psychological distress and prevents potential complications from adhesive eye injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Emergency Medicine
  • Ophthalmic Trauma

Background:

  • Accidental ocular adhesion, particularly in children, presents a unique clinical challenge.
  • Superglue (cyanoacrylate) eye injuries are infrequent but can cause significant distress and potential harm.

Observation:

  • A 4-year-old boy presented with both eyelids sealed shut due to accidental cyanoacrylate exposure.
  • Initial management involved cutting eyelashes and surgical separation of the eyelids under general anesthesia.

Findings:

  • Expectant management is not recommended for bilateral eyelid adhesion in pediatric cases.
  • Surgical intervention is crucial for both physical separation and psychological well-being.

Implications:

  • Ophthalmic practitioners should consider surgical intervention for acute eyelid adhesion, prioritizing patient comfort and safety.
  • Product design modifications, differentiating ophthalmic and cyanoacrylate packaging, could prevent future accidental exposures.

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